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为预防老年人眼病手术中心血管疾病的发作，选择５８例眼病手术进行动态心电图监测，并分析记录手术中各个步骤时发生的心律失常及ＳＴ－Ｔ变化情况。结果表明，异常动态心电图４６例，占７９．３％，频发室性早搏１６例，占２７．６％，术中牵拉眼肌或压迫眼球时发生窦性心动过缓２１例，占３６．２％，其中１例合并出现Ⅱ度Ⅱ型房室传导阻滞，１例发生窦性静止。局部应用肾上腺素时２例发生室性心动过速，出现缺血性ＳＴ－Ｔ改变３３例，占５６．９％。提示老年人除急症眼病手术外对有严重心血管疾病者，应进行正确有效地治疗，待病情稳定后，再行眼病手术。术前术中用药，如甘露醇、肾上腺素、新福林等，都要考虑到对心血管疾病的影响。术中操作要轻巧，避免眼心反射的发生。
In order to prevent the onset of vascular diseases in the eye surgery center for the elderly, 58 cases of ophthalmic surgery were selected to monitor the dynamic electrocardiogram. The changes of arrhythmia and ST-T in each step of the surgery were analyzed. The results showed that abnormal dynamic electrocardiogram in 46 cases, accounting for 79.3%, frequent premature ventricular contractions in 16 cases, accounting for 27.6%, intraoperative ophthalmus oppression or ophthalmic ball occurred in 21 cases of sinus bradycardia, accounting for 36 .2%, of which 1 cases combined Ⅱ degree Ⅱ type atrioventricular block, sinusoidal resting in 1 case. Local application of epinephrine occurred in 2 cases of ventricular tachycardia, ischemic ST-T changes in 33 cases, accounting for 56.9%. Prompted the elderly in addition to emergency eye surgery outside of patients with severe cardiovascular disease, should be properly and effectively treated until the condition is stable, then eye surgery. Preoperative intraoperative medication, such as mannitol, epinephrine, new Forint, etc., must take into account the impact on cardiovascular disease. Surgery should be lightweight surgery to avoid the occurrence of ocular reflex.