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胸部肿瘤切除术围手术期高血压防治 被引量:3

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摘要 目的探讨胸部肿瘤切除术围手术期发生高血压的表现特征及处置原则。方法行胸部肿瘤手术治疗患者2008例,合并高血压病者1210例(60.25%),其中肺癌452例(37.36%),胃责门癌410例(33.88%),食管癌348例(28.76%)。术前给予抗高血压治疗,控制收缩压(SP)≤140mmHg(1mmHg=0.133kPa),舒张压(DP)≤90mmHg。术后持续24~72h心电监测,观察心率、呼吸、血压、心电图、血氧浓度变化。结果432例出现心血管并发症(35.7%),其中心律失常323例(26.69%);心电图sT段异常98例(8.09%),其中发生心绞痛4例。结论围术期高血压与患者精神紧张、麻醉插管、术中刺激以及术后缺氧、疼痛有关。该类患者应术前控制血压;术中加强心肺功能监护,减少刺激;术后观察血压、心率,及时纠正血容量和水电解质平衡,保持血压平稳。
出处 《肿瘤研究与临床》 CAS 2008年第9期627-629,共3页 Cancer Research and Clinic
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  • 1李立明,饶克勤,孔灵芝,姚崇华,向红丁,翟凤英,马冠生,杨晓光,中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志,2005,26(7):478-484. 被引量:1783
  • 2喻田,余志豪.围术期高血压的发生与处理[J].中华麻醉学杂志,2002,22(6):382-384. 被引量:32
  • 3Cagirici U, Nalbantgil S, Cakan A, et al. A new algorithm for preoperative cardiac assessment in i3atients undergoing pulmonary resection[J]. Tex Heart Inst J, 2005, 32(2): 159-162.
  • 4Paix AD, Runciman WB, Horan BF, et al. Crisis management during anaesthesia:hypertension[J]. Qual Saf Health Care, 2005, 14(3): 12.
  • 5李冰,王文光,秦子敏,闫明.胸部肿瘤患者围术期心律失常的相关因素及对策[J].中国心血管病研究,2004,2(8):650-651. 被引量:5
  • 6Pajak A, Kawalec E. Lifestyle characteristics and hypertension in the middle-aged population of Krakow[J]. Blood Press Suppl, 2005, 2(1): 17-21.
  • 7Iwamoto T. Na^+/Ca^2+ exchanger(NCX 1) and salt-sensitive hypertension [J]. Nippon Rinsho, 2006, 64(1): 167-176.
  • 8Spiers JP, Kelso EJ, Siah WF, et al. Alterations in vascular matrix metalloproteinase due to ageing and chronic hypertension:effects of endothelin receptor blockade [J]. J Hypertens, 2005, 23 (9): 1717-1724.
  • 9张秉钧.高血压病人外科手术时的几个问题[J].中国实用外科杂志,2000,20(4):196-197. 被引量:33
  • 10Howell S J, Sear JW, Foex P, et al. Hypertension, hypertensive heart disease and perioperative cardiac risk[J]. Br J Anaesth, 2004, 92(4): 570-583.

二级参考文献85

共引文献1868

同被引文献24

  • 1陈平.胸部肿瘤术后并发心律失常的观察及护理[J].中国误诊学杂志,2006,6(10):1974-1975. 被引量:5
  • 2王永南,龙浩,林鹏,林勇斌,林志潮,司徒冬荣,马刚,黄植蕃,戎铁华.围手术期高血压对胸部肿瘤患者术后心血管并发症的影响[J].癌症,2007,26(5):537-540. 被引量:4
  • 3常秀军,王子彤,韩鸣,杨声,秦明,段勇.795例肺癌术后发生心律失常危险因素的多因素回顾分析[J].中国肿瘤,2007,16(8):633-635. 被引量:20
  • 4Klopfenstein CE,Herrmann FR,Michel JP,et al.The influence of an aging Surgical population on the anesthesia workload:a ten-year survey.Anesth Analg,1998,86:1165-1170.
  • 5Guler G,Akin A,Tosun Z,et al.Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy.Paediatr Anaesth,2005,15:762-766.
  • 6Coursin DB,Coursin DB,Maceioli GA.Dexmedetomidine.Current Opinion in Cirtical Care,2001,7:221-226.
  • 7Menda F,Kooner O,Sayin M,et al.Dexmedetomidine as an adjunct to anesthetic induction to attenuate hemodynamie response to endotraehealintubation in patients undergoing fast-track CABG.Annals Cardiac Anaesthesiam,2010,13:16-21.
  • 8Voepel-Lewis T,Malviya S,Tait R.A prospective cohort study of emergence agitation in the pediatric postanesthesia care unit.Anesth Analg,2003,96:1625-1630.
  • 9Gurlit S,MSllmann M.How to prevent perioperative deliriumin in the elderly.Z Gerontol Geriatr,2008,41:447-452.
  • 10Eehigoya Y,Kato H.Causes of postoperative delirium after abdominal surgery in elderly patients.Masui,2007,56:932-936.

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