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70岁以上老年人心血管疾病非心脏手术的麻醉处理

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摘要 目的 探讨高龄心血管疾病患者施行非心脏手术麻醉处理的特殊性。方法 对 76例 70岁以上高龄心血管疾病患者作非心脏手术麻醉处理 ,即术前充分准备 ,选择合适的麻醉方法、药物、术中监测及处理措施 ,预防术中心肌氧供需失衡、低氧血症、术后疼痛及心血管事件的发生。结果 急诊手术患者术后循环不稳定的发生率为 3 6.8% ,择期手术患者循环不稳定的发生率为 12 % ,5 4例患者术后行PCA镇痛 ,无麻醉死亡病例。结论 充分的术前准备 ,选择合适的麻醉方法 。
作者 胡永明
出处 《右江民族医学院学报》 2003年第5期646-647,共2页 Journal of Youjiang Medical University for Nationalities
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