癌症患者并发重度冠脉狭窄的麻醉处理

Anesthesia management of cancer patients complicated with severe coronary stenosis

随着我国人口老龄化的进程,冠心病合并肿瘤的患者数量逐年增加。重度冠脉狭窄的恶性肿瘤限期手术患者若心脏病情稳定,近期无反复心绞痛和心律失常,先行肿瘤外科手术较先行冠脉再通手术于患者获益更多时,可在严密的心脏监护下进行手术。对该类患者实施麻醉,保证患者围术期的生命安全,对麻醉医师是一种极大挑战。现将我院2012年1月到2020年10月间5例癌症手术患者并发重度冠脉狭窄的麻醉处理要点总结如下。

With the aging of China′s population,the number of patients with coronary heart disease complicated with tumor is increasing year by year.Patients with malignant tumor with severe coronary stenosis undergoing scheduled surgery can be performed under close cardiac monitoring if the heart condition is stable,there is no recent recurrent angina pectoris and arrhythmia,and the patients can benefit more from prior oncology surgery than from prior coronary recanalization surgery.It is a great challenge for anesthesiologists to carry out anesthesia on such patients and ensure the life safety of patients during perioperative period.The main points of anesthesia management of five patients with severe coronary stenosis complicated by cancer operation in our hospital from January 2012 to October 2020 are summarized as follows.