Laparoscopic cholecystectomy in elderly hypertensive patients with Anesthesia.docVIP

 PAGE \* MERGEFORMAT 4 Laparoscopic cholecystectomy in elderly hypertensive patients with Anesthesia [Keywords:] hypertension; Laparoscopy; cholecystectomy; anesthesia Elderly patients with hypertension because of physiological degeneration, cardiovascular system, lower compliance, while accepting the laparoscopic cholecystectomy, often due to the original disease, CO2 pneumoperitoneum pressure, gallbladder cardiac reflex, the effects of narcotic drugs and other factors, easy to appear anesthesia and complication. Therefore, we must be sufficient attention. In this paper, in recent years in our hospital over the age of 65 hypertensive patients with laparoscopic cholecystectomy anesthesia processing data to be summarized, reported as follows. A clinical data and methods 1.1 General information on 77 patients with this group of patients, male 26 cases, female 51 cases, aged 65-88 years old, according to American Society of Anesthesiologists (American Society of Anesthesiologists, ASA) standard is divided into Ⅱ - Ⅲ grade, history of hypertension 4-36 years. Of these, 34 patients with ECG left ventricular hypertrophy prompted, ST  T change, myocardial blood supply is inadequate; sinus bradycardia, and complete right bundle branch block in 4 cases; 8 cases complicated with type Ⅱ diabetes mellitus; 6 cases with chronic bronchitis; three cases of sequelae of cerebral thrombosis; the history of two cases of cerebral hemorrhage; 55 cases of elevated blood lipids. In this group were attentive medical preoperative diagnosis of primary hypertension and the line of antihypertensive drug therapy, blood pressure control (140 ± 10mmHg/90 ± 10mmHg, 1mmHg = 0.133kPa), before an operation. 1.2 Anesthesia Preoperative 30min intramuscular luminal sodium 0.1g, atropine 0.5mg. After the patient into the operating room, intravenous indwelling intravenous needle opening passage, followed three connecting pipe. All patients were induced using intravenous rapid tracheal int