非心脏手术患者的围术期管理  

Perioperative Management for Non-cardiac Surgery

作　　者：和晓峰[1] 黄青青[1] 

机构地区：[1]昆明医学院第二附属医院麻醉科

出　　处：《医学综述》2009年第5期775-778,共4页Medical Recapitulate

摘　　要：随着人口老龄化，心血管疾病发病率不断上升，有心血管危险因素行非心脏手术的患者也不断增多，而多数患者行的是胸、腹、血管、矫形外科等手术。术中的许多应激因素与围术期心血管事件的发生率和病死率有显著的相关性，围术期心血管并发症已成为麻醉手术后死亡的主要原因。本文对非心脏手术患者围术期管理予以综述。The attack rate of cardiovascular disease increases with the aging of general population. The number of patients with risk factors of cardiovascular disease is increasing,but most of them undergoes noncardiac surgery sudh as intraabdominal, thoracic, vascular, and orthopedic procedures. The stress factors are significantly associated with perioperative cardiovascular incidence rate and mortality. The main cause of an- esthesia postoperative death is attributed to the cardiovascular complication in preoperative period. This article reviews the perioperative management for non-cardiac surgery.

关 键 词：非心脏手术 术前心血管评估 围术期管理 心血管事件 

分 类 号：R614[医药卫生—麻醉学]