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老年糖尿病患者急诊行胆道手术后心律失常的分析
引用本文:王新明,何力生,梁杰雄.老年糖尿病患者急诊行胆道手术后心律失常的分析[J].西南科技大学学报(哲学社会科学版),2005,3(4):5-7.
作者姓名:王新明  何力生  梁杰雄
作者单位:首都医科大学附属安贞医院普外科 100015
摘    要:目的通过对老年糖尿病患者急诊行胆道手术后心律失常的分析,找出老年糖尿病患者急诊行胆道手术后心律失常的原因,从而有效地避免心律失常的 .发生.方法443例老年糖尿病患者急诊行胆道手术,心律失常的统计时间范围是从手术结束到手术后24h内.电解质、血红蛋白的数据为急诊入院时或急诊入院后术前3h内所采集的数据,采集的数据经统计学处理.结果本组443例中发生心律失常113例(25.5%),其中有心血管病史发生心律失常为92例,高血钾或低血钾发生心律失常为73例,手术时间大于2h为58例,低血红蛋白发生心律失常为57例,连续硬膜外94例.经过统计学处理发生心律失常分别与有无心血管病史、血钾和血红蛋白值、麻醉方式密切相关.有心血管病史、血钾不正常、血红蛋白偏低、手术时间大于2h、连续硬膜外是引起老年人急诊行胆道手术后致心律失常的主要因素.结论发现主要与原有心血管疾病、高血钾或低血钾、低血红蛋白、手术时间、麻醉方式关系密切.

关 键 词:老年糖尿病  胆道手术  心律失常
修稿时间:2005年6月11日

Ahalyse cardiac rhythmias of the elder patients With diabetes after emergency operation of tract biliary
WANG Xingming,HE Lisheng,LIANG Jiexiong.Ahalyse cardiac rhythmias of the elder patients With diabetes after emergency operation of tract biliary[J].Journal of Southwest University of Science and Technology,2005,3(4):5-7.
Authors:WANG Xingming  HE Lisheng  LIANG Jiexiong
Abstract:Objective To analyse cardiac rhythmias of the elder patients with diabetes after emergency operation of tract biliary,so effective avoid cardiac rhythmias occur.Methods add up the number cardiac rhythmias of the elder patients with diabetes after emergency operation of tract biliary, from the end of operation to 24 hours, the data of the hemoglobin data and electrolyte gathered handle were collected when the patients were admitted to hospital or 3 hours before operation.the data were dealed with stataretics. Results all of 113 cases,28 cardiac rhythmias(25.5%),in which,the patients who had been having cardiovascular are 92 cases. The patients who had hypokalemia or hyperkalemia are 73 cases, the patients who had abnormal hemoglobin are 57 cases, the patients who had general anesthesia are 19 cases (P < 0.01). Conclusion cardiac rhythmias of the elder patients with diabetes after emergency operation of tract biliaryare related to cardiovascular.hypokalemiaorhyperkalemia, lows hemogmobin, operation time, anaesthesia way "WT5"HZ]
Keywords:the elder diabetes patients operation of tract biliary cardiac rhythmias
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