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本文报道解放军总医院及海军总医院1993年6月~1996年12月272位60岁以上心脏病患者行前列腺手术的围手术期情况.方法:272例冠心病患者、分别行耻骨上前列腺摘除术、经尿道前列腺电切术、前列腺激光术、前列腺射频术、径尿道微波针治疗.结果:272例,无一例死亡.术后发生出血7例,心肌缺血加重12例,心衰加重3例,肺部感染7例,快速房颤2例,均治愈.结论:本组患者无论年龄大小,病程长短,均胜任手术.高危患者,持续心电监护,及时发现并有效处理心肌缺血所致的心律紊乱,对减少围手术期发病率有十分重要意义.
This article reports the perioperative status of 272 patients with heart disease over the age of 60 undergoing prostatectomy from PLA General Hospital and Navy General Hospital from June 1993 to December 1996. Methods: 272 patients with coronary heart disease were treated with suprapubic prostatectomy , Transurethral resection of the prostate, prostate laser, radiofrequency ablation of prostate and urethral microwave needle.RESULTS: There were 272 deaths without hemorrhage.Postoperative hemorrhage occurred in 7 cases, myocardial ischemia in 12 cases and heart failure in 3 cases , Pulmonary infection in 7 cases, rapid atrial fibrillation in 2 cases, were cured.Conclusion: This group of patients regardless of age, duration of disease, are competent surgery.High-risk patients, continuous ECG monitoring, timely detection and effective treatment of myocardial ischemia Of the heart rhythm disorders, to reduce perioperative morbidity is very important.