摘要
124例70岁以上老年病人胆道手术麻醉资料的回顾性调查表明老年人胆道手术中循环功能抑制主要发生在麻醉诱导后手术切皮前和进腹探查、牵拉胆道二个时期,且术前并存心血管疾病与急诊手术病人术中循环抑制的发生率高于一般老年患者和择期手术病人。硬膜外阻滞组术中因胆道牵拉致循环抑制的发生率高于静脉复合麻醉组。提示对有循环抑制倾向患者以静脉复合全麻为宜。
A retrospective review of anesthesia process in 124 patients over 70 years old undergoing biliary tract operation is presented. Circulation inhibition during the operation was mainly developed during anesthetic induction and biliary tract exploration. Patients with cardiovascular diseases and in emergency operation tended to have a higher risk of circulation inhibition. Inhibiton induced by biliary tract exploration was easily developed in patients under epidural blockade than those under intravenous combined anesthesia(P<0.01)It suggests that general anesthesia is better for these patients.
出处
《南京医科大学学报(自然科学版)》
CAS
CSCD
1995年第2期299-301,共3页
Journal of Nanjing Medical University(Natural Sciences)
关键词
麻醉
胆道手术
循环抑制
老年病人
anesthesia
biliary operation
circulation inhibition
elderly patient