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[β受体阻滞剂治疗的高血压患者麻醉中出现的问题]

[Problems posed by anesthesia in the hypertensive treated with beta-blockaders].

作者信息

Nicolas G, Nicolas F, Rozo L

出版信息

Arch Mal Coeur Vaiss. 1976 Dec;69(12):1311-4.

PMID:12725
Abstract

The use of beta-blocking agents against hypertension and their rapid extension in daily practice we have to consider the problem of anesthesia of a patient undergoing such treatment. Continuation of the treatment increases the operative risk, discontinuation long before the operation leaves the hypertension to reappear and discontinuation 48 hours before may lead to a coronary or arrhythmic accident. Therefore, except in case of emergency, treatment may be maintained until the day before the operation, and in case or emergency extensive atropinisation is desirable. Finally prescription of selective beta-blocking agents decreases the risks.

摘要

使用β受体阻滞剂治疗高血压及其在日常实践中的迅速推广,我们必须考虑接受此类治疗的患者的麻醉问题。继续治疗会增加手术风险,在手术前很久停药会使高血压复发,而在手术前48小时停药可能会导致冠状动脉或心律失常事故。因此,除非在紧急情况下,治疗可维持到手术前一天,在紧急情况下,大量使用阿托品是可取的。最后,开具选择性β受体阻滞剂可降低风险。

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