文档介绍：胸科非心脏手术围麻醉期并发心律失常的临床分析
陈怡霏,陈伟
四川省绵阳市中心医院麻醉科,绵阳,621000
【摘要】目的探讨非心脏开胸手术围麻醉期并发心律失常的原因及防治措施。方法分析916例非心脏开胸手术患者的临床资料,统计围麻醉期并发心律失常的相关因素。结果年龄≥65岁、术前心电图异常、血氧饱和度低、手术操作、相关合并症等因素作为分析证据。结论围麻醉期的正确处理:术前积极治疗心脏原发病,纠正低氧、电解质异常、相关合并症,术中给予心肌保护,维持血流动力学的平稳,吸痰、雾化吸入,抗心律药物等处理是防止和治疗心律失常的关键措施。
【关键词】胸科非心脏手术围麻醉期;心律失常
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[Abstract] objective to noncardiac thoracic operation during anesthesia for cardiac arrhythmia of reason and prevention and cure measures. Methods 916 cases of noncardiac thoracic operation in patients with clinical data, statistical plicating factors associated with arrhythmias. The results above 65 years of age, preoperative electrocardiogram abnormalities, low oxygen saturation, operation, orbidites such factors as the analysis of evidence. Conclusion during anesthesia of correct processing: positive preoperative treatment of heart disease, correction of hypoxia ,electrolyte abnormalities, orbidites, intraoperative for myocardial protection, maintaining hemodynamic stability, suctioning, inhalation, anti-arrhythmia drug treatment is to prevent and treatment of arrhythmias in the key measures.
[Key words] thoracic noncardiac operation during anesthesia, cardiac arrhythmia
胸科非心脏手术对呼吸、循环影响较大,术中发生心律失常的比例较高,心律失常是开胸手术最常见的严重并发症之一,直接影响患者生命体征平稳,增加围术期死亡的风险,已经引起人们的重视⑴。自2009年至2011年我院共行胸科非心脏手术916例,85例围麻醉期内发生心律失常,%分析其围麻醉期心律失常情况如下。
,女性291例,年龄(22—78)岁,平均