Weitz H H, Goldman L
Med Clin North Am. 1987 May;71(3):413-32. doi: 10.1016/s0025-7125(16)30849-5.
Optimal care of the patient with heart disease undergoing noncardiac surgery requires that the members of the surgical team, including anesthesiologist, internist-cardiologist, and surgeon, be familiar with the cardiovascular response to surgery, preoperative cardiac risk stratification, and the unique pathogenesis of cardiac complications that may occur in the perioperative period. Preoperative evaluation and computation of cardiac risk, anesthetic considerations, along with perioperative care of the patient with ischemic heart disease, valvular heart disease, congestive heart failure, arrhythmias and conduction disorders, and hypertension is discussed.
对患有心脏病的患者进行非心脏手术的最佳护理要求手术团队成员，包括麻醉师、内科心脏病专家和外科医生，熟悉手术的心血管反应、术前心脏风险分层以及围手术期可能发生的心脏并发症的独特发病机制。本文讨论了心脏风险的术前评估和计算、麻醉注意事项，以及缺血性心脏病、瓣膜性心脏病、充血性心力衰竭、心律失常和传导障碍以及高血压患者的围手术期护理。
