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我院五年问1968例老年手术患者中,发生围手术期AMI 有6例,发生率0.3%。年龄61～86岁。右半结肠切除术2例,子宫全切除术、前列腺切除术、右额顶叶肿瘤切除术及胆囊切除术各1例。均气管内插管加静脉复合麻醉。6例 AMI 病人中1例麻醉后经心电监护发现,1例在术中经心电监护发现,2例在术后第1天因发生呼吸困难,2倒在术后第2天出现胸骨后痛确诊。梗塞部位4例为前间壁,1例广泛前壁及下壁,1例高侧壁。6例中5倒治愈出院,1例术后
Five years in our hospital asked 1968 cases of elderly patients with surgery, the occurrence of perioperative AMI in 6 cases, the incidence rate of 0.3%. Age 61 ~ 86 years old. Right colon resection in 2 cases, total hysterectomy, prostatectomy, right frontal parietal tumor resection and cholecystectomy in 1 case. Both endotracheal intubation plus intravenous anesthesia. One of 6 AMI patients was found by electrocardiographic monitoring after anesthesia. One patient was found by electrocardiogram (ECG) during the operation. Two patients had dyspnea on the first day after operation. Two patients fell back on the second day after operation Pain diagnosis. 4 cases of infarction anterior wall, a wide anterior wall and inferior wall, 1 case of high side wall. Of the 6 cases, 5 were cured and discharged, 1 was postoperative