摘要
目的总结1988～1998年间124例胸部肿瘤手术的经验，探讨胸部肿瘤术后心律失常的原因及围术期处理。方法分析124例围术期胸部肿瘤病人资料。结果≥60岁老年组病人心律失常发生率明显增高（P＜0．01）．术前心电图异常病人心律失常发生率增高，低氧血症、低钾、低镁病人心律失常发生率增高。结论胸部肿瘤病人术后心律失常与高龄、术前心电图异常、低钾、低镁密切相关。充分的术前准备、、良好的麻醉及严谨的围术期处理是手术成功的关键．可减少心律失常发生的危险性。
Objective To evaluate the outcome of 124 case of thoracic cancer from 1988 to 1999.Methods Analysed prioperative conditions of 124 case of thoracic cancer Results The incidence of the nged with arrhythmias is high. Preoperatively the incidence of arrhythmias of the patients with abnormal ECG is high. The values of Pao2 during the first four days were lower than that before operation(P<0.001 ) The values of serun electrolytes were lower than preoperative ones. Conclusion The postoperative arrhythmias had a close relationship with the postoperative of lower Pao2 and lower serum electrolytes (K+、Mg2+ ), abnormal ECG and aged. The better result would be achived will full preoperative, better anaesthesia and succeed perioperation managnent. It can reduce the risk of incidence of arrhythmias.
出处
《海南医学》
CAS
2000年第3期19-19,12,共2页
Hainan Medical Journal
关键词
胸部肿瘤
心律失常
围术期
病例分析
Intrathoracic cancer Arrhythmias Perioperative management
