内科疾病对非心脏手术病人术中心血管并发症的影响

The influence of internal conditions to intraoperative cardiovascular complication at geriatric noncardiac surgery

目的 探讨老年非心脏手术病人合并的内科疾病对术中心血管并发症的影响。 方法 回顾分析3 0 88例老年非心脏手术病人的临床资料。 结果 合并各种内科疾病的老年人术中心血管并发症的发生率明显高于正常老年人组 ,其中以慢支和 (或 )合并肺气肿及心绞痛病人术中心血管并发症发病率最高。心电图及超声心动图检查结果阳性的病人术中心血管并发症的发病率明显增高。 结论 老年人合并各种内科疾病均可明显增加术中心血管并发症发生 ,其中以呼吸系统、心血管系统疾病的影响最为显著 ,且不同内科疾病所致围手术期并发症的种类亦不相同。不应忽视非心血管系统内科疾病 。

Objective To explore the influence of internal conditions to intraoperative cardiovascular complications at geriatric noncardiac surgery. Methods Clinical data of 3 088 patients undergone geriatric noncardiac surgery was analyzed retrospectively. Results The intraoperative cardiovascular complications of geriatric patients suffering different internal diseases are obviously higher than that of normal elderly subjects,it is even especially higher in patients with angina and chronic bronchitis with or without pulmonary emphysema.The complication morbidity increased significantly when ECG or UCG was abnormal. Conclusions Every internal conditions presented in the elder patients may increase the morbidity of intraoperative cardiovascular complication.In that the influence of respirations system diseases and cardiovascular system diseases are most remarkbly,and the kind of peri operative complication caused by different internal disease is also different.The contribution of noncardiovascular system internal diseases,especially respiration system disease,to perioperative cardiovascular events morbidity should not be neglected.