老年患者行颈动脉手术时的区域麻醉：病例系列报告
Regional anesthesia in elderly patients undergoing carotid surgery: report of a case series.
作者信息
Aslim Erdal, Akay Tankut Hakki, Candan Selim, Ozkan Suleyman, Akpek Elif, Gultekin Bahadir
机构信息
Department of Cardiovascular Surgery, Baskent University Hospital, Ankara, Turkey.
出版信息
Semin Cardiothorac Vasc Anesth. 2008 Mar;12(1):29-32. doi: 10.1177/1089253208316447. Epub 2008 Apr 2.
BACKGROUND
This study evaluates the short-term results in patients more than 75 years of age undergoing carotid endarterectomy at a single institution.
METHODS
Between June 2004 and June 2007, carotid endarterectomy operations were performed in 123 patients. A total of 70 patients had regional anesthesia. The data for all patients were retrospectively reviewed. Regional anesthesia and selective shunting was performed in all patients.
RESULTS
In 6 patients, a shunt was required. Primary closure of the carotid artery was performed in 22 patients and patch angioplasty was used in the remainder. There were no postoperative neurological complications. One patient died due to myocardial infarction.
CONCLUSIONS
Carotid endarterectomy with regional anesthesia can be performed safely in the elderly population with low mortality and morbidity. Regional anesthesia may have advantages over general anesthesia and could potentially aid in avoiding complications related to shunt use.
背景
本研究评估了在单一机构中接受颈动脉内膜切除术的75岁以上患者的短期结果。
方法
2004年6月至2007年6月期间，对123例患者进行了颈动脉内膜切除术。共有70例患者接受了区域麻醉。对所有患者的数据进行了回顾性分析。所有患者均采用区域麻醉和选择性分流术。
结果
6例患者需要分流。22例患者进行了颈动脉的一期缝合，其余患者采用补片血管成形术。术后无神经并发症。1例患者因心肌梗死死亡。
结论
在老年人群中，采用区域麻醉进行颈动脉内膜切除术可安全实施，死亡率和发病率较低。区域麻醉可能比全身麻醉具有优势，并有可能有助于避免与分流使用相关的并发症。
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