| 高龄患者心脏瓣膜置换术的麻醉处理 |
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| 引用本文： | 韦华,李家胜,邓劲松. 高龄患者心脏瓣膜置换术的麻醉处理[J]. 中国煤炭工业医学杂志, 2011, 14(11): 1595-1597 |
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| 作者姓名： | 韦华 李家胜 邓劲松 |
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| 作者单位： | 525200,广东省高州市人民医院麻醉科 |
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| 摘 要： | 目的探讨高龄患者行心脏瓣膜置换术的麻醉管理方法。方法回顾性分析19例高龄心脏瓣膜置换术患者的围术期资料。结果全组均顺利完成手术,术中出现高血压12例（63.2%）,心动过缓10例（52.6%）;术后出现室性期前收缩6例,低钾血症8例,低氧血症3例;低心排综合征3例,除死亡1例外均痊愈出院。结论高龄患者行心脏瓣膜置换手术麻醉危险性高,术前应积极改善心肺功能,术中维护心血管功能稳定,术后积极处理心律失常和低氧血症等并发症是麻醉成功的关键。
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| 关 键 词： | 高龄患者 心脏瓣膜病 麻醉 心脏手术 |
RESEARCH ON THE ANESTHETIC MANAGEMENT FOR AGED PATIENTS WITH CARDIAC VALVE REPLACEMENT |
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| Wei Hua,Li Jiasheng,Deng Jinsong. RESEARCH ON THE ANESTHETIC MANAGEMENT FOR AGED PATIENTS WITH CARDIAC VALVE REPLACEMENT[J]. Chinese Journal of Coal Industry Medicine, 2011, 14(11): 1595-1597 |
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| Authors: | Wei Hua Li Jiasheng Deng Jinsong |
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| Affiliation: | Wei Hua,Li Jiasheng,Deng Jinsong.Department of Anesthesiology,Gaozhou people's hospital,Guangdong 525200,China |
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| Abstract: | Objective To investigate the anesthetic management for aged patients with cardiac valve replacement.Methods Retrospective data from 19 aged patients with cardiac valve replacement were analyzed.Results In all 19 patients,12(63.2%) with hypertension,10(52.6%) with bradycardia intraoperatively,6 with premature ventricualr contraction,8 with hypokalemia,3 with hyoxemia and 3 with low cardiac output syndrome(LCOS) postoperatively.18 of 19 patients were cured,1 case was dead.Conclusion This result indicates that... |
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| Keywords: | aged patients cardiac valve diseasec anaesthesia cardiac operation |
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