陈云飞, 徐晓栋, 祖曙芳, 江剑, 乔鲁祥. 老年手术患者全身麻醉165例分析[J]. 蚌埠医学院学报, 2014, 38(5): 603-606.
    引用本文: 陈云飞, 徐晓栋, 祖曙芳, 江剑, 乔鲁祥. 老年手术患者全身麻醉165例分析[J]. 蚌埠医学院学报, 2014, 38(5): 603-606.
    CHEN Yunfei, XU Xiaodong, ZU Shufang, JIANG Jian, QIAO Luxiang. The application of general anesthesia in 165 elderly operation patients[J]. Journal of Bengbu Medical College, 2014, 38(5): 603-606.
    Citation: CHEN Yunfei, XU Xiaodong, ZU Shufang, JIANG Jian, QIAO Luxiang. The application of general anesthesia in 165 elderly operation patients[J]. Journal of Bengbu Medical College, 2014, 38(5): 603-606.

    老年手术患者全身麻醉165例分析

    The application of general anesthesia in 165 elderly operation patients

    • 摘要: 目的:探讨老年患者全身麻醉处理方法。方法:分析165例年龄65岁住院手术患者病历资料,包括术前合并症、心肺功能状态、重要的辅助检查结果、麻醉经过及监护措施,追踪术后并发症。结果:急诊手术麻醉23例,病死5例;择期手术患者均痊愈出院。术中发生严重室性心律失常2例。术后发生急性心肌缺血3例,抢救成功2例,病死1例;苏醒延迟3例;疑似认知功能障碍5例;脑梗死1例;肺动脉栓塞伴尿崩症1例;顽固性低钠血症1例。结论:老年患者术前合并基础疾病复杂,手术、麻醉可能对心肺脑功能造成影响,精细化、目标化、个体化全身麻醉管理可发挥麻醉的治疗性干预效应,提高康复效果。

       

      Abstract: Objective:To explore the processing method of general anesthesia in elderly patients.Methods:The clinical data of patients with 65 years old(including preoperative complications,cardiopulmonary functional status,results of auxiliary examination,anesthesia process and monitoring measures and postoperative complications) were retrospectively analyzed.Results:Twenty-three cases were treated with emergency surgical anesthesia,5 cases died.Serious ventricular arrhythmias in 2 cases were found.Postoperative acute myocardial ischemia in 3 cases were found,2 cases were successfully rescued and 1 case died.The delayed recovery in 3 cases,suspected cognitive dysfunction in 5 cases,cerebral infarction in 1 case,pulmonary embolism complicated with diabetes insipidus in 1 case and refractory hyponatremia in 1 case were found.Conclusions:The anesthesia maybe affect the heart,lung and brain functions of elderly patients with complex underlying diseases.Refinement,targeted,individualized general anesthesia management can improve the therapeutic intervention efficiency and recovery quality.

       

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