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高血压外科手术患者。治疗中的争议。

The hypertensive surgical patient. Controversies in management.

作者信息

Martin D E, Kammerer W S

出版信息

Surg Clin North Am. 1983 Oct;63(5):1017-33. doi: 10.1016/s0039-6109(16)43133-6.

Abstract

The authors use data gathered from recent clinical and laboratory studies to deal with the following six questions often facing the physician caring for hypertensive patients before, during, and after surgery. Which hypertensive patient is at increased surgical risk? When must elective surgery be delayed? Should antihypertensive medication be discontinued preoperatively? What is the ideal intraoperative blood pressure? What anesthetic techniques are best suited for hypertensive patients? Which patients are at most risk of a postoperative hypertensive crisis?

摘要

作者利用从近期临床和实验室研究中收集的数据,来处理外科医生在术前、术中和术后护理高血压患者时经常面临的以下六个问题。哪些高血压患者手术风险增加?择期手术何时必须推迟?术前是否应停用降压药?理想的术中血压是多少?哪种麻醉技术最适合高血压患者?哪些患者术后发生高血压危象的风险最高?

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