老年患者围术期心电监测的临床意义

Clinical Value of Electrocardiography Monitor of Elder Patients in Perioperative Care

通过对１２６例颌面外科的老年患者（６０岁以上）围术期心电监测的回顾性研究，结果显示大多数患者表现为Ｑ－Ｔ间期延长，Ｓ－Ｔ段上抬下移和Ｔ波低平或倒置；其次为Ｉ度房室传导阻滞，心动过缓和室性早搏，统计表明，术中出现心电异常患者人数均比术前高。本文为老年患者围术期可能出现的心电异常的预防和处理提供参考。

Abstract A survey study of electrocardiogram (ECG) among 126 elder patients (over 60 year old ) with craniofacial surgical intervention during the perioperative care was analysed.The results showed that the majority of patients manifested Q-T interval prolongatian.S-T segment elevation and depression and lawet T wave or inversion.Next .the abnormal ECG Appeared AS I °atrioventricular block(AVB),bradycardia and premature venfricular contractions (PVCs).The statistics analysis indicated that number of patients with abnormal ECG in intraoperation was much more than that of preoperation. Preventions and treatments of problem abnormal ECG were suggested and helpful for the patients of cranisfacial surgical intervention.