摘要
目的 明确与围手术期心肌缺血之相关因素及与手术后心脏事件发生的关系 ,以期提出预防措施 ,减少围手术期心脏事件的发生。 方法 观察 10 2例老年患者围手术期有无心肌缺血及心脏事件发生。 结果 发生围手术期缺血有 3 8例 ,86 8%表现为无症状心肌缺血 ,仅 5例 (13 2 % )有症状。患有糖尿病、原发性高血压、心绞痛、有心衰病史的患者围手术期缺血发生明显增高。有糖尿病患者高 3 5倍 ,有心衰者高 5 4倍。有围手术期缺血的患者发生围手术期心脏并发症的比例明显增高 (高 11倍 )。 结论 围手术期心肌缺血是围手术期心脏事件发生的预警指标 ;围手术期心肌缺血 (包括心肌梗死 )大部分为无症状心肌缺血 ;
Objective To explore the factors related to perioperative myocardial ischemia and the relationship between perioperative myocardial ischemia and cardiac events. Methods From 1994 to 1995,perioperative myocardial ischemia and cardiac events were observed in 102 patients over 60. Results Perioperative myocardial ischemia in the majority(86 8%)of them presented silent myocardial ischemia.The perioperative myocardial ischemia incidence in the patients with the histories of diabetes mellitus,hypertention,angina and heart failure was much higher than that without those diseases.The patients with perioperative myocardial ischemia had more perioperative cardiac events. Conclusions (1)Perioperative myocardial ischemia is a good predictor for perioperative cardiac events.(2)Majority of patients with perioperative myocardial ischemia presented silent myocardial ischemia.(3)Perioperative myocardial ischemia is prone to occur in the patients with the histories of angina and heart failure.
出处
《实用老年医学》
CAS
2001年第1期17-19,共3页
Practical Geriatrics
关键词
围手术期
心肌缺血
心脏事件
Perioperation
Myocardial ischemia
Cardiac event
