通常患者围手术期.ppt

超高龄患者围术期麻醉并发症的防范与处置;超高龄患者的生理特点和病理生理特征;社会老龄化 科学技术进步 特别是麻醉学和外科学的发展 ;超高龄的概念 ;人口统计学特征：老龄化;超高龄患者的生理特点和病理生理特征;超高龄患者生理特点---神经系统;超高龄患者生理特点---循环系统;超高龄患者生理特点---呼吸系统;超高龄患者病理生理特征;超高龄患者围术期死亡率及影响因素;超高龄患者围术期死亡率;超高龄患者围术期死亡率;影响超高龄患者围术期死亡率的因素---D.A Story;Y. Kojima;影响超高龄患者围术期死亡率的因素; When compared with over 1000 hip fracture patients of all ages in previous prospective studies, the centenarians in this series were found to have a higher mortality during hospital admission ( p0.001) and at 1 year ( p=0.002). The treatment of hip fractures in centenarians poses a challenge. Optimal anaesthesia, expeditious surgery and a co-ordinated multidisciplinary approach to care is essential in these patients.;超高龄患者围术期的并发症及死亡原因分析;死亡原因及常见的并发症---- D.A Story;死亡原因及常见的并发症 —N. B. Foss;Jovan L.;Mortality analysis in hip fracture patients－－N. B. FossMortality related to cause;Mortality analysis in hip fracture patients－－N. B. Foss;死亡原因及常见的并发症分析;超高龄患者围术期的麻醉及管理;麻醉与管理;麻醉与管理--术前检查;麻醉与管理--术前评估与准备;麻醉与管理--术前评估与准备;Cardiac risk stratification for non‐cardiac surgical procedures. Risk=combined incidence of cardiac death and non‐fatal myocardial infarction. Patients in this group do not generally require further preoperative cardiac testing. From reference 47 reproduced with permission;Cardiac risk index. From reference 62 reproduced with permission;Goldman multifactorial risk assessment. From reference 62 reproduced with permission;Risk factors for postoperative stroke in elderly;;;麻醉与管理--术前评估与准备;麻醉与管理—麻醉选择;麻醉与管理—监测;Anaesthesia management for elderly patients undergoing major surgery;Anaesthesia management for elderly patients undergoing major surgery;Anaesthesia management for elderly patients undergoing major surgery;麻醉与管理—并发症的处理 ;Prevention of postoperative delirium. From reference 106 reproduced with permission. *MMSE, Digit Symbol Substitution Test. ?From reference 74 reproduced with permission. ?From reference 65 reproduced with permission;;;麻醉与管理—术中管理;术后镇痛及康复;谢谢！