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[高血压患者手术患者的术前评估]

[Preoperative assessment of surgical patients with hypertension arterialis].

作者信息

Smitt Margit, Lind Morten Nikolaj

机构信息

Anæstesiologisk Afdeling, Glostrup Hospital, Nordre Ringvej 57, 2600 Glostrup, Denmark.

出版信息

Ugeskr Laeger. 2012 Sep 17;174(38):2223-6.

Abstract

Almost one out of four patients referred for non cardiac surgery presents preoperatively with hypertensio arterialis (HA). The risk of perioperative cardiovascular complication increases with the grade of HA and the coexistence of end organ damage. This paper is a review of the current knowledge of HA and anaesthesia. It is recommended that patients with grade I and II HA proceed for surgery. But the evidence for patients with grade III HA is less clear. Patients without end organ damage can proceed for surgery, while patients with end organ damage should be stabilized before surgery.

摘要

接受非心脏手术的患者中,几乎四分之一在术前患有高血压。围手术期心血管并发症的风险随着高血压的分级以及终末器官损害的并存而增加。本文是对高血压和麻醉方面现有知识的综述。建议I级和II级高血压患者进行手术。但III级高血压患者的情况证据尚不明晰。无终末器官损害的患者可以进行手术,而有终末器官损害的患者应在手术前使病情稳定。

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