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《Journal of Modern Oncology》 2007-09
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The perianesthesive period management of 42 elder tumor patients with myocardial ischaemia

LIANG Rui, HUANG Bing, PAN Ling-hui, QIAN Wei, LI Yang Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530027, China.  
Objective:To investigate the perianesthesive period management of elder tumor patients with myocardial ischaemia. Methods: Forty two elder tumor patients with myocardial ischaemia were proceeded surgical operation with general anaesthesia using propofol and remifentanil. Given nitroglycerin, betaloc or esmolol hydrochloride, lidocaine etc by the result of the electrocardiogram, blood pressure, heart rate, pulse, saturated degree in oxygen etc. to maintain the stability of hemodynamics. Results: Thirty seven patients wake up in 10~15 min after stopping the medicine, the breath and the muscle tension resume; 5 patients wake up in 15~20 min after stopping the medicine, the breath and the muscle tension resume. All patients heart-blood-vessel and hemodynamics index sign were steady. No one had heart failure, cardiac infarction, terrible heart rate disorders and anaesthesia accident, everyone recovered well after operation. Conclusion: Anesthetized with propofol and remifentanil and keep a certain degree, provide enough oxygen, enhance monitor in the surgical operation, give nitroglycerin, betaloc or esmolol hydrochloride properly, maintain the stability of hemodynamics has a great meaning to the elder tumor patients with myocardial ischaemia.
【CateGory Index】: R614
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