高血压伴心肌缺血行腹部急诊手术的麻醉处理

The perianesthesive period management of hypertension patients with Ischemia in emergency abdominal surgery

目的：探讨高血压伴心肌缺血在全麻下行腹部急诊手术时麻醉处理临床效果。方法：回顾性分析32例高血压伴心肌缺血在全麻下行腹部急诊手术时麻醉处理临床资料。结果：本组患者诱导插管静注药物后5min，SBP、DBP、HR显著下降。SBP于20min后回升到原来水平，HR于30min回升到原来水平。全部病例麻醉期间心血管系统或血流动力学指标基本保持平稳。结论：结论：合理应用麻醉处理能显著降低高血压及心率增快，维持全麻诱导时血压、心率的平稳，维持术中血流动力学的稳定，且减少毒副反应。

Objective： To investigate the clinical effects of perianesthesive period management of hypertension patients with Ischemia in Emergency abdominal surgery. Methods： A retrospective analyzed the clinical data of 32 cases of hypertension associated with myocardial ischemia during anesthesia anesthetic management of abdominal emergency surgery. Results ： After the 5 min of induction and tracheal intubation in patients with intravenous medications, The level of SBP, DBP, HR decreased significantly. BP rebounded to its original level after 20 rain, HR ebounded to its original level after 30 min. All patients during anesthesia in the cardiovascular system or hemodynamic parameters remained stable. Conclusion ： The rational use of narcotic treatment can significantly reduce high blood pressure and heart rate, increase rapidly to maintain anesthesia induction blood pressure and heart rate stable to maintain intraoperative hemodynamic stability and less toxicity.