论文部分内容阅读
目的探讨高血压患者围术期的麻醉用药及有关处理方法。方法对24例高血压患者围手术期的麻醉处理中用药前后血流动力学变化进行分析。结果全部患者用药后1～2min血压下降,15～20min内降至术前或略低于术前水平。24例中无一例出现心、脑、肾重要脏器并发症。结论围术期高血压患者麻醉处理的基本原则在于权衡降压治疗的有效性和安全性,有效性是指适度降压,安全性是指降压的可控和防止低血压。
Objective To investigate perioperative anesthesia in hypertensive patients and related treatment. Methods 24 cases of hypertensive patients during perioperative anesthesia in the treatment of hemodynamic changes were analyzed. Results All patients 1 ~ 2min after treatment, blood pressure decreased within 15 ~ 20min decreased to preoperative or slightly lower than the preoperative level. None of the 24 cases showed complications of vital organs of heart, brain and kidney. Conclusion The basic principle of anesthesia in patients with perioperative hypertension is to weigh the effectiveness and safety of antihypertensive treatment. The effectiveness refers to the modest lowering of blood pressure. The safety refers to the control of antihypertensive and the prevention of hypotension.