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Abdomen surgery complicated with hypertension in perioperative period's treatment.

CHENG Dian-yuan,ZHUANG Yan-zhang,ZHANG Wei-da.Department of General Surgery,People's Hospital of Chenghai District,Shantou 515800,Guangdong,P.R.CHINA  
Objective To explore the abdomen surgery comlicated with hypertension in perioperative period's treatment.Methods From 2000 to 2006,86 patients complicated with hypertension who were performed with abdomen surgery in our hospital were analyzed retrospectively.Results There were 28,40 and 8 cases were in degree 1,2 and 3 respectively.10 cases were isolated systolic hypertension.There were 30 and 20 cases were complicated with myocardial ischemia and left ventricular hypertrophy respectively.1 case were complicated with myocardial infarction in the postoperative period.There was no patient died of operation.Conclusion Before the patients complicated with hypertension undergo abdomen surgery treatment,preoperative evaluation with other departments and enough preparation should be performed to control the blood pressure to the normal level.Maintaining the steadiness of blood pressure in the perioperative period and supervising the blood pressure in the postoperative period are vital to lessen the opportunity of myocardial infarction,heart failure and other complications.
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