摘要
目的总结70岁以上高龄患者的麻醉方法和管理体会。方法回顾性分析200例70岁以上患者的麻醉处理,其中40%患者术前检查发现合并有其他疾病,根据患者的病情和手术种类的不同,选择全身麻醉或者连续硬膜外麻醉。结果患者的麻醉效果都较为理想,麻醉后的生命体征基本平稳,围术期无一例因麻醉因素死亡。结论做好麻醉前访视、准确充分的评估及准备,采用适当的方法麻醉,加强监测,术中、术后及时充分进行麻醉管理及并发症防治,可使高龄患者安全度过围术期,减少麻醉风险。
Objective To summarize the anesthesia methods and management experience in elderly patients over 70 years. Methods The 200 cases narcotic treatment in patients aged over 70 were reviewed and analyzed, of which 40% of patients underwent preoperative examination revealed that associated with other diseases. The general anesthesia or continuous epidural anesthesia was chosen depending on the patients＇ condition and the type of surgery. Results The narcotic effects of the patients were desirable, and vital signs were stable after anesthesia. During perioperative period no case of death were due to anesthesia factors. Conclusion Doing preanesthetie visit, accurate and adequate assessment and preparation; using appropriate methods of anesthesia, strengthening monitoring and doing postoperative timely and adequate anesthesia management and prevention of complications can make the elderly patients pass through the perioperative period safely and re duce the risk of anesthesia.
出处
《中国当代医药》
2012年第19期105-106,共2页
China Modern Medicine
关键词
麻醉
高龄患者
围术期
麻醉管理
Anesthesia
Elderly patients
Perioperative
Anesthesia management
