血气分析联合麻醉深度监测在老年人腹腔镜下胃癌根治术中的应用体会
随着我国经济和医疗水平的提高,国民的平均寿命明显延长,老年病人占受手术病人的比例稳步增高,很多老年病人又同时患有一些重要器官疾病却不得不进行手术治疗的情况也很常见。老年病人,尤其常合并心血管系统疾病(如冠心病)的老年病人进行非心脏手术时不仅不能改善心脏功能,可能加重心脏负担,难以维持血流动力学的稳定,麻醉风险比进行心脏手术还要大。目前我院接受腹腔镜下胃癌根治术的患者大多数都是老年人,老年人对人工气腹的耐受能力有限,因此,术中经常出现一系列并发症而影响麻醉质量 ...
宋智敏, 周姝, 张欣
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