静脉栓塞病人的麻醉（Anesthesia in patients with venous thromboembolism）.docVIP

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静脉栓塞病人的麻醉（Anesthesia in patients with venous thromboembolism）.doc

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静脉栓塞病人的麻醉（Anesthesia in patients with venous thromboembolism）

静脉栓塞病人的麻醉（Anesthesia in patients with venous thromboembolism） An operation tomorrow, the patient, more than 60, with gastric cancer, intestinal metastasis, and liver metastasis, has had two operations, and tomorrow will be scheduled for colostomy under general anesthesia. The patient had been in bed for nearly a month. In 2005, he had a history of pulmonary embolism, a history of deep vein thrombosis in the left lower extremity, and a left lower limb swelling. Ask you, tomorrows surgery and postoperative problems should be paid attention to, and treatment methods. Thank you Please forgive me if you dont reply in time. Hope to continue to support Love Medicine, and pay attention to our section. 1. preparation before anesthesia The illness estimates: Patients with gastrointestinal tumor surgery, preoperative condition vary greatly, especially in elderly patients with malignant tumor, preoperative malnutrition, anemia, hypoalbuminemia, edema, dehydration, hypokalemia and electrolyte disorder before anesthesia should be given nutritional therapy, to enhance the tolerance of anesthesia and surgery and reduce the intraoperative and postoperative complications. Correct the disorders of water, electrolyte, acid-base balance, hypoproteinemia and anemia. The hemoglobin of patients undergoing elective surgery should be corrected more than 100g/l and the total plasma level should be over 60g/l. The digestive tract disease prone to water electrolyte acid-base imbalance, hypoxemia and metabolic diseases of upper digestive tract appeared alkali poisoning, lower digestive tract diseases prone to hypokalemia syndrome and metabolic alkalosis, long-term vomiting patients also prone to low calcium and low magnesium. Therefore, we should pay attention to the relevant items before the operation, and adjust the supplement of water and electrolyte in time, correct the acid-base imbalance, blood transfusion and supplement of albumin. If the patient has obstruction of the digestive tract, ga