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《Jilin Medical Journal》 2007-05
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Exploration of anesthesia at upper abdominal operation in old patient with hypertension

LI Xin-yu(Department of Anesthesiology,Jingdong Hospital of Langfang City,Hebei Province,Langfang 065201,China)  
Objective To discuss the anesthesia method at the upper abdominal operation in the old patient with hypertension.Method 30 old patients underwent selective radical operation of gastric cancer,with hypertension of grade 1~2 before surgery.The cases were divided into two groups randomly,and group A(n=15) with complete anesthesia,group B(n=15) with epidural anesthesia.Bp,HR and SpO2 during the operation,restlessness after the operation,and the dose of anesthesia drug were detected.Results Outstanding increase in SBp,MAP,HR and RPP was found in group A compared with preoperation when take off the anesthesia,and SBp,MAP,HR increased obviously 60 minutes and 90 min,utes after the operation,also had significant difference with group B(P0.01).The awaken time in group A and group B was(35.0±15.2) min and(10.0±4.6) min,respectively,and with significant difference(P0.01).Conclusion Complete anesthesia plus epidural anesthesia at upper abdominal operation in old patient with hypertension can decrease the haemodynamics fluctuation,diminish the dose of anesthesia drug and restlessness after the operation,and get recovery quickly.
【CateGory Index】: R614
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【References】
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1 ZHANG Cheng-ju,MA Bao-xin,LI Hong-yue(Department of Anesthesiology,Zhongshan Hospital Affilated to Xiamen University Xiamen 361004,China);Anesthesia of patients with hypertension undergoing abdominal emergency operation[J];Journal of Hainan Medical College;2008-04
【Citations】
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1 PI Xiao-bo,ZHANG Zhou,JIANG Chun-xiu(Department of Anesthesiology,Third Hospital of Chongqing,Chongqing 400014,China);Anesthesia of the epigastrium operation for the aged high-risk patients[J];Chongqing Medicine;2007-07
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1 CAO Jianguo, ZHANG Mazhong, HANG Yannan, et al Department of Anesthesiology,Renji Hospital, Shanghai Second Medical University , Shanghai 200001;Feasibility of epidural block combined with general anesthesia for elderly upper abdominal surgery[J];Chinese Journal of Anesthesiology;2000-03
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