非心脏外科手术围术期高血压的评估与处理

被引:12
|
作者
吴军
许迪
机构
[1] 南京医科大学第一附属医院老年心血管科
关键词
高血压; 围术期; 非心脏外科手术;
D O I
暂无
中图分类号
R544.1 [高血压];
学科分类号
摘要
高血压是常见的心血管疾病,威胁着各个年龄群体的健康。随着高血压患病率的逐渐升高,需要手术的高血压患者也不断增加。围术期高血压是指术前、术中及麻醉恢复期发生的高血压。此期间血压剧烈波动易引发脑卒中、急性冠脉综合征、肾衰竭等不良事件,增加围术期死亡风险。围术期高血压患者的麻醉与手术危险性不仅取决于心血管本身的病变性质、程度及心功能状态,而且还与麻醉医师及外科医师的临床操作有关。而良好的高血压围术期管理(包括术前充分的评估,术中和术后严密监测)则可以减少并发症、降低死亡率及住院费用。因此,围术期高血压的科学管理具有重要意义。
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页码:8 / 10
页数:3
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