高龄患者开胸围手术期心律失常的监护

The monitoring of arrhythmia of aged patients in perioperative-thoracotomy period.

目的 观察高龄患者开胸围手术期持续心电监护的重要性。方法 利用M3多功能心电监护仪对 6 3例年龄 6 5～ 79岁的高龄开胸围手术期患者进行持续心电监测 ,观察其心律及心率等情况。结果 在这 6 3例高龄患者中 ,共发现有 2 7例在围手术期先后出现不同程度的心律失常 ,经及时发现 ,及时处理 ,减轻了术后并发症 ,提高了手术成功率。

Objective To observe the importance of the continuous electrocardiographic monitoring of the aged patents in the period of perioperative-thoracotomy.Methods To use the M3 multi-function electrocardiographic momitoring system to carry out continuous electrocardiographic monitoring system to carryout continuous electrocardiographic monitoring to 63 patients of age 65～67 in the period of perioperative-thoracotomy and observe the rhythms and rates of the hearts.Results In the 63 cases, 27 were found with arrhythmia in different degrees before and after the perioperative-thoracotomy period.With these early findings,by taking measures in time, the complications after operations reduced and the success rates of operation increased.Conclusion It is necessary to conduct the continuous ECG monitoring to the aged patients in the period of perioperative-thoracotomy.