Elderly patients with cardiovascular disease 68 patients with treatment perianesthesia.docVIP

 PAGE \* MERGEFORMAT 9 Elderly patients with cardiovascular disease 68 patients with treatment perianesthesia [Keywords:] Aged; anesthesia; cardiovascular diseases Old organ function declining with increasing age, poor compensatory ability of the body, many accompanied by heart surgery patients, brain, lung and other important organ dysfunction and organic disease, on the sudden change in poor tolerance to hemodynamic , and the narcotic drug metabolism is slow, thereby increasing the risks of anesthesia. Therefore, to improve elderly surgical patients preoperative cardiac function, control blood pressure and arrhythmia, the maintenance of anesthesia on hemodynamic stability and adequate oxygenation is a narcotic security key (one). This Retrospective analysis of the proposed elderly patients with cardiovascular disease, and peri anesthesia anesthesia treatment options, intended for the safety of elderly patients to provide the basis of clinical anesthesia. 1 Clinical data 1.1 General information from January 2007 to October 2009 in our hospital surgery in 68 patients aged 60 to 89 years, including 43 males and 25 females, emergency surgery in 13 cases, elective surgery 55 cases; one with previous surgery who 8 cases. 1 case of induction of anesthesia, there have been cardiac arrest. ASA ~ , 3 ~ 4 cardiac function in 16 patients; weight 40 ~ 85 kg. hypertension in which 45 cases of CHD 25 patients, surgery before coronary stent placement in 3 cases, coronary artery bypass in 1 case. 31 cases of valvular heart disease, 6 cases of atrial fibrillation, atrial premature in 4 cases, 9 cases of early room, ECG ST segment changes in 49 cases. preoperative electrolyte disorders 15 cases. ejection fraction (EF) 40% ~ 50% in 6 cases, left ventricular diastolic dysfunction were 38 cases. 11 cases of sinus bradycardia, pacemaker placed preoperatively in 4 cases. with chronic bronchitis were 9 cases and 4 cases of asthma and renal insufficiency in 3 cases. low p