摘要
目的观察老年患者在全麻手术前后血浆电解质的变化，并探讨其临床意义。方法回顾性分析135例老年患者在实施全麻手术前后血浆钾、钠、钙、氯离子的变化。结果全麻术后血浆中钾、钠、氯离子的浓度变化不明显，但Ca2＋浓度明显下降（P〈0．001），术前低钙血症发生率43．0％，术后低钙血症发生率达94．1％。结论老年患者全麻术后低钙血症发病率高，术前术后需积极预防和治疗。
Objective To observe the changes on the plasma electrolyte levels and their clinical meanings in the elderly patients who were in a general anesthesia operation. Methods A retrospective analysis was conducted to observe the changes of the plasma potassium, sodium, calcium, chloride ion in a total of 158 elderly patients who were performed a general anesthesia operation. Results After the general anesthesia operation, the plasma potassium, sodium, chloride ion concentration did not change significantly, but the calcium ion concentration decreased significantly （P〈0.001）. The preoperative hypocalcemia rate was 43.0%, and postoperative hypocalcemia reflected 94.1%. Conclusion The incidence of hypocalcemia in elderly patients who are in a general anesthesia operation was high that demands an effective prevention and treatment.
出处
《中国急救复苏与灾害医学杂志》
2012年第4期346-347,366,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
全麻手术
老年
电解质
低钙血症
General anesthesia operation
Elderly
Electrolyte
Hypocalcemia
