摘要
目的:探讨老年患者全身麻醉处理方法。方法:分析165例年龄≥65岁住院手术患者病历资料,包括术前合并症、心肺功能状态、重要的辅助检查结果、麻醉经过及监护措施,追踪术后并发症。结果:急诊手术麻醉23例,病死5例;择期手术患者均痊愈出院。术中发生严重室性心律失常2例。术后发生急性心肌缺血3例,抢救成功2例,病死1例;苏醒延迟3例;疑似认知功能障碍5例;脑梗死1例;肺动脉栓塞伴尿崩症1例;顽固性低钠血症1例。结论:老年患者术前合并基础疾病复杂,手术、麻醉可能对心肺脑功能造成影响,精细化、目标化、个体化全身麻醉管理可发挥麻醉的治疗性干预效应,提高康复效果。
Objective： To explore the processing method of general anesthesia in elderly patients. Methods： The clinical data of patients with ≥65 years old（ including preoperative complications,cardiopulmonary functional status,results of auxiliary examination,anesthesia process and monitoring measures and postoperative complications） were retrospectively analyzed. Results： Twenty-three cases were treated with emergency surgical anesthesia,5 cases died. Serious ventricular arrhythmias in 2 cases were found. Postoperative acute myocardial ischemia in 3 cases were found,2 cases were successfully rescued and 1 case died. The delayed recovery in 3 cases,suspected cognitive dysfunction in 5 cases,cerebral infarction in 1 case,pulmonary embolism complicated with diabetes insipidus in1 case and refractory hyponatremia in 1 case were found. Conclusions： The anesthesia maybe affect the heart,lung and brain functions of elderly patients with complex underlying diseases. Refinement,targeted,individualized general anesthesia management can improve the therapeutic intervention efficiency and recovery quality.
出处
《蚌埠医学院学报》
CAS
2014年第5期603-606,共4页
Journal of Bengbu Medical College
关键词
麻醉
全身
麻醉管理
干预效应
老年医学
anesthesia
trachea
anesthesia management
intervention efficiency
elderly
