胸科手术的麻醉-医学课件.pptVIP

CARDIAC RISK CLASSIFICATION ( HYHA Classification) CLASS DESCRIPTION I Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea, or anginal pain. II Ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain. III Less than ordinary physical activity causes fatigue, palpitation, dyspnea, or anginal pain. IV Symptoms of cardiac insufficiency or of the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort is increased. * 5） 其他脏器合并症及代偿情况，特别是心、脑、肾。 6） 手术方式：包括体位、切口、术式 7） 了解术前药物治疗情况及效果。抗高血压、心律失常药要持续至手术当日，抗凝药