摘要
目的 探讨老年患者 (≥ 75岁 )围手术期内心肌缺血的变化及防治措施。方法 对 32例老年非心脏手术患者 ,比较围手术期内心电图的变化。结果 14例术后T波改变加重 ,6例发生缺血性ST T演变 ,2例发生急性心肌梗死。其中 ,17例全麻手术患者术后 5例呈缺血性ST T演变 ,2例发生急性心肌梗死 ;15例局麻手术后 1例发生ST T演变。结论 老年患者围手术期内心肌缺血的发生率较高 ,应严密观察临床表现及监护心电图的变化 ,采取有效的防治措施 ,确保老年患者围手术期的安全。
Objective To investigate the occurrence of myocardial ischemia in the elderly (≥75 years) during perioperative period.Method The changes in electrocardiogram during perioperative period were compared in 32 elderly patients receiving operations other than heart operation.Results 14 patients developed inverted T wave,and 6 patients presented depressed ST segment with 2 acute myocardial infarction.Conclusion Since the risk of myocardial ischemia is high in the elderly during perioperative period,the changes in electrocardiogram should be monitored and the measures of prevention and treatment should be taken to ensure the security of the elderly during perioperative period.
出处
《中华老年心脑血管病杂志》
CAS
2001年第1期21-23,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
老年人
围手术期
心肌缺血
心电图
the elderly
perioperative period
myocardial infarction
