61 cases of elderly patients undergoing continuous monitoring of ST segment changes in the clinical analysis.docVIP

 PAGE \* MERGEFORMAT 6 61 cases of elderly patients undergoing continuous monitoring of ST segment changes in the clinical analysis [Abstract] current perioperative myocardial ischemia gradually increased the incidence of perioperative myocardial ischemia can lead to significant changes in cardiac function, myocardial infarction, arrhythmia, heart failure, cardiac arrest and even threatened. Older including coronary heart disease in patients with symptomatic and occult is perioperative myocardial ischemia and myocardial infarction in high-risk groups, in order to increase the safety of anesthesia and surgery, to detect myocardial ischemia is particularly important. electrocardiogram (ECGST segment changes can be directly reflect the situation in coronary blood supply to the heart is still the most commonly used perioperative myocardial ischemia monitoring methods, the report over the age of 65 in patients with coronary heart disease or suspected coronary artery disease patients in the continuous ECG-ST segment monitoring By comparing the results of the inspection to find and anesthesia in patients with ST segment of the variation. [Keywords:] continuous monitoring of ST segment changes in elderly An analysis of objects and methods Choose over 65 non-cardiac surgery patients (American Society of Anesthesiologists grade II-III disease levels estimated total of 61 patients, 33 patients were male, 28 females, mean age 68.5 years, maximum age of 83 years. Including continuous epidural anesthesia Anesthesia outside the 34 cases, 12 cases of cervical brachial plexus block, general anesthesia in 15 cases. all surgical patients to do routine electrocardiogram before surgery, 16 patients had abnormal electrocardiogram, 8 reported cases of ischemic ST segment depression, with their use of cardiac drugs, hypokalemia and other electrolyte imbalance situation. preoperative routine to atropine 0.5mg, 0.1g intramuscular injection of pentobarbital sodium, nerve bl