心脏病患者非心脏手术风险的规避

Prevent the Cardiac Events in Non-cardiac Surgery Patients with Heart Disease

社会老龄化,老年人口的相对比例以及绝对值不断增长,外科手术患者中合并心脏病的患者比例也在不断增加。这类患者都具有较高的围手术期心肌梗死、心衰及心源性死亡的危险。如何评价这些患者的围手术期风险,细致调整心脏病用药,使患者获得最佳治疗,保证患者的医疗安全,同时避免术前不必要的检查。

The greying of society, the relative ratio and absolute value of aging population are uninterruptedly growing. Patients with heart disease among non-cardiac surgery become more and more. They have more risk of acute myocardial infarction, heart failure and cardiac death. Evaluation for the risk, management and well control of their heart problem require careful teamwork including physician, anesthesiologist and surgeon so to enable the patient to ＂get through＂ the noncardiac procedure and limit the preoperative expensive tests and treatments.