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高龄患者行动脉血管重建手术的麻醉处理
引用本文:吕誉芳,卿恩明,耿新社. 高龄患者行动脉血管重建手术的麻醉处理[J]. 心肺血管病杂志, 2010, 29(3): 181-183. DOI: 10.3969/j.issn.1007-5062.2010.03.004
作者姓名:吕誉芳  卿恩明  耿新社
作者单位:首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,麻醉科,北京,100029
摘    要:目的:通过对我院50例高龄患者行血管手术麻醉的处理进行分析,对麻醉经验进行总结。方法:收集我院2年间行血管手术高龄患者病例50例,按麻醉方式分为全身麻醉﹑硬膜外麻醉及局麻监护。结果:本组49例患者选用合理的麻醉方法平安度过麻醉期,1例91岁男性患者行股动脉转流术后,双下肢运动障碍,经保守治疗3个月后,双下肢运动功能基本恢复。结论:高龄患者血管手术麻醉处理具有较高的难度和风险,要求麻醉医师具备一定的临床经验和完善的麻醉监测手段,以使患者安全度过麻醉期。采用硬膜外麻醉时更应慎重。

关 键 词:高龄  血管手术  麻醉  血管疾病

Anesthesia experience for elderly patients undergoing vascular surgery
LV Yufang,QING Enming,GENG Xinshe. Anesthesia experience for elderly patients undergoing vascular surgery[J]. Journal of Cardiovascular and Pulmonary Diseases, 2010, 29(3): 181-183. DOI: 10.3969/j.issn.1007-5062.2010.03.004
Authors:LV Yufang  QING Enming  GENG Xinshe
Affiliation:LV Yufang,QING Enming,GENG Xinshe Department of Anesthesiology,Capital Medical University affiliated Beijing Anzhen Hospital,Beijing Institute of Heart,Lung , Blood Vessel Diseases,Beijing 100029,China
Abstract:Objective:To summarize the anesthetic experience through analyzing the anesthetic treatment of 50 elderly patients undergoing vascular surgery.Methods:Clinical date of patients suffered from vascular diseases during 2007-2008,were classified into three groups by anesthetic means.They were general anesthesia group,epidural anesthesia group and local anesthesia with monitor group.Results:49 patients got through the anesthetic period safely.A 91 years old male patient had lower limbs dysfunction after femoral ...
Keywords:Elderly  Vascular surgery  Anesthesia  Vessel disease  
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