摘要
目的通过分析916例胸科手术患者围麻醉期间并发心律失常的情况,探讨非心脏开胸手术心律失常的原因及防治措施。方法术中连续监测患者血氧饱和度、心电图、心率、有创动脉压、呼末二氧化碳分压和间断血气分析,并记录患者术中心律失常发生的类型、治疗措施及效果。结果胸科非心脏手术围麻醉期发生心律失常的概率大于72%,其诱发因素主要有患者年龄、心脏原发病、心电图异常、血氧饱和度低、手术操作、电解质异常相关合并症等,麻醉期间应予重视。结论胸科非心脏手术围麻醉期发生心律失常发生概率较高,术前应积极纠正病因,术中严密监护和及时处理诱发因素等是防止和治疗心律失常的关键措施。
[ Objective ] Analysis of and to investigate the cause of the The patients are continuous to be monitored blood oxygen saturation, electrocardiogram （ECG）, heart rate, arterial blood pressure, end-tidal carbon dioxide tension（PetCO2） and the intermittent blood gas analysis during the operation, and record the type of arrhythmia in patients, treatment measures and effects. [ Resluts ] The probability of the arrhythmia caused by non-cardiac surgery during anesthesia is greater than 72%, and the inducing factors mainly include patient age, primary disease of the heart, abnormal ECG, low oxygen saturation, operation procedure, and electrolyte abnormalities related complications, which should be paid attention to during anesthesia. [ Conclusion ] The probability of the arrhythmia occurred in the non-cardiac surgery during anesthesia is very high. The cause of disease should be actively correct before surgery, the operation procedure should be intensive care, and inducing factors should be dealt with in time. They are the key measures for the prevention and treatment of arrhvthmia
出处
《中国医学工程》
2013年第6期22-22,24,共2页
China Medical Engineering
关键词
胸科非心脏手术
围麻醉期
心律失常
thoracic non-cardiac operation
during anesthesia
cardiac arrhythmia
