Anesthesia combined with epidural anesthesia in elderly patients with hypertension chest and abdominal surgery.docVIP

 PAGE \* MERGEFORMAT 6 Anesthesia combined with epidural anesthesia in elderly patients with hypertension chest and abdominal surgery [Keywords:] anesthesia combined with epidural block, hypertension, chest and abdomen surgery Application of general anesthesia combined with epidural anesthesia in elderly hypertensive patients were anesthetized with thoracic or abdominal surgery, the patient to observe the law of circulation. 1 Subjects and methods 1.1 study Elective surgery ASA ~ grade 48 cases of elderly patients with hypertension, aged 60 to 82 years, preoperative diagnosis of hypertension by WHO criteria were diagnosed as high blood pressure. Including ECG abnormalities in 36 cases, 20 cases of surgery, including thoracic surgery, abdominal surgery, 28 cases. all patients were taking antihypertensive drugs, medication on the morning of surgery until the patients were randomly divided into .48 anesthesia combined with epidural anesthesia group (observation group and the anesthesia group (control group, 24 patients in each group . 1.2 Methods Preoperative intramuscular injection of pentobarbital sodium 30 min 0.1 g, atropine 0.5 mg. Observe the groups of patients taken before induction of anesthesia in the right lateral position, epidural puncture abdominal surgery choose T6 7 or T7 8, chest surgical options in the T5 6. puncture the tube behind the success of 1.5% lidocaine injection of 5 ~ 6 ml, determine the conduct of anesthesia after induction of anesthesia, surgical incision 15 min before the first dose of 1.5% lidocaine injection of 8 ~ 10 ml . the groups were the same as induction of anesthesia, are used midazolam 0.05 mg / kg, fentanyl 4 g / kg, propofol 1.5 mg / kg, card muscle Ning 0.4 mg / kg, have been intravenously, intubation followed by mechanical ventilation anesthesia ventilator. Observed intraoperative epidural lidocaine 1.5% per hour, an additional injection of 1. The two groups are used inhalation anesthesia combi