【摘要】 目的探讨老年患者腹部手术后心脑血管意外的发病特点及防治体会。方法回顾性分析2011年1月至2013年12月本科室诊治的64例腹腔手术后发生心脑血管意外的老年患者临床资料,其中32例伴有心脑血管疾病为A组,同期无心脑血管疾病的32例行腹腔手术的患者为B组,探讨其发病的原因及防治方法。结果 A组术后11例发生了脑梗死,其中6例为脑栓塞,4例发生脑出血,心肌梗死6例,心电图有心肌缺血5例,ST段改变9例,急性心力衰竭2例,心律失常5例;B组术后3例发生了脑梗死,其中1例为脑栓塞,1例发生脑出血,心肌梗死1例,心电图有心肌缺血2例,ST段改变2例,心律失常1例。A组术后心脑血管疾病的发生率明显高于B组,组间差异有统计学意义(P<0.05)。结论患有腔隙性脑梗死、陈旧性脑梗死、心肌梗死、心肌缺血、ST段改变等心脑血管疾病的患者手术风险高,易出现猝死及心脑血管意外,必须引起临床医师的注意和重视。更多还原

【Abstract】 Objective To investigate pathogenesis and prevention of cardiocerebral vascular accident of elderly patients after abdominal operation. Methods A retrospective analysis of the diagnosis and treatment was carried out of sixty-four aged patients with abdominal operation for postoperative cardiovascular and cerebrovascular incidence, in which 32 cases were complicated with cardiovascular and cere-brovascular disease(Group A) and 32 cases of abdominal operation without cardiocerebrovascular disease(Group B). Results Eleven patients in Group A had postoperative cerebral infarction, including 6 cases of cerebral embolism; 4 cerebral hemorrhage; 6 myocardial infarction; 5 ECG myocardial ischemia, the changes of ST segment in 9 cases; 2 cases of acute heart failure, arrhythmia in 5 cases; 3 cases of Group B had postoperative cerebral infarction, including 1 case of cerebral embolism; 1 cerebral hemorrhage; 1myocardial infarction; 2 ECG myocardial ischemia, the changes of ST segment in 2 cases; 1 with arrhythmia. The occurrence of cardiovascular and cerebrovascular disease was significantly higher in Group A than that in the B group(P < 0.05). Conclusion For patients with lacunar cerebral infarction, cerebral infarction, myocardial infarction, myocardial ischemia, ST segment changes of cardiovascular and cerebrovascular disease, the operation risk is high due to their prone to sudden death and cardiocerebral vascular accident, and needs attention from clinicians.更多还原