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[老年患者的手术治疗风险]

[The risk of surgical treatment in elderly patients].

作者信息

Swiatkowski J

机构信息

Katedra i Klinika Anestezjologii i Intensywnej Terapii Ak. Med. w Lublinie.

出版信息

Wiad Lek. 1994 Nov-Dec;47(21-24):836-9.

PMID:8999697
Abstract

The course of surgical treatment of 124 patients aged over 70 years was subjected to an assessment. On the basis of the ASA classification, 88% of all surgically treated patients fell into group III-IV of risk. Surgical operations were performed under intratracheal general anaesthesia (85%) or conduction anaesthesia (15%). The induction of general anaesthesia was accompanied by adverse reactions of the cardiovascular system in the form of arterial blood pressure drops and heart rhythm disturbances. Heart rhythm disturbances were not observed in patients under conduction anaesthesia. No intraoperative deaths were noted.

摘要

对124例70岁以上患者的外科治疗过程进行了评估。根据美国麻醉医师协会(ASA)分类,所有接受手术治疗的患者中有88%属于III-IV级风险组。手术在气管内全身麻醉(85%)或传导麻醉(15%)下进行。全身麻醉诱导时伴有心血管系统不良反应,表现为动脉血压下降和心律紊乱。传导麻醉患者未观察到心律紊乱。未记录到术中死亡情况。

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