Effect of abdominal operation on senile patients with cardiovascular and cerebrovascular disease

doi:10.3877/cma.j.issn.1674-0793.2015.01.007

Abstract

Abstract:

Objective

To investigate pathogenesis and prevention of cardiocerebral vascular accident of elderly patients after abdominal operation.

Methods

A retrospective analysis of the diagnosis and treatment was carried out of sixty-four aged patients with abdominal operation for postoperative cardiovascular and cerebrovascular incidence, in which 32 cases were complicated with cardiovascular and cerebrovascular disease (Group A) and 32 cases of abdominal operation without cardiocerebrovascular disease (Group B).

Results

Eleven patients in Group A had postoperative cerebral infarction, including 6 cases of cerebral embolism; 4 cerebral hemorrhage; 6 myocardial infarction; 5 ECG myocardial ischemia, the changes of ST segment in 9 cases; 2 cases of acute heart failure, arrhythmia in 5 cases; 3 cases of Group B had postoperative cerebral infarction, including 1 case of cerebral embolism; 1 cerebral hemorrhage; 1 myocardial infarction; 2 ECG myocardial ischemia, the changes of ST segment in 2 cases; 1 with arrhythmia. The occurrence of cardiovascular and cerebrovascular disease was significantly higher in Group A than that in the B group(P < 0.05).

Conclusion

For patients with lacunar cerebral infarction, cerebral infarction, myocardial infarction, myocardial ischemia, ST segment changes of cardiovascular and cerebrovascular disease, the operation risk is high due to their prone to sudden death and cardiocerebral vascular accident, and needs attention from clinicians.

Key words: Cardiovascular disease, Abdominal surgery, Cerebrovascular disease, Prevention

Huijian Huang, Yilai Chen, Fang Luo, Jianrong Qian, Zhongxing Li. Effect of abdominal operation on senile patients with cardiovascular and cerebrovascular disease[J]. Chinese Archives of General Surgery(Electronic Edition), 2015, 09(01): 26-28.

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References 11

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组别	例数	男/女	平均年龄（岁， ± s）	手术方式(例)		原发腹腔疾病(例)
组别	例数	男/女	平均年龄（岁， ± s）	急诊手术	择期手术	消化道穿孔	腹股沟疝	胆道梗阻	胆囊结石
A组	32	20/12	69.3 ± 2.5	24	8	11	7	6	8
B组	32	19/13	68.3 ± 2.7	23	9	11	9	5	7
统计值	?	χ² = 0.066	t = 1.537	χ² = 0.080		χ² = 0.321
P值	?	0.798	> 0.050	0.778		0.852

组别	例数	男/女	平均年龄（岁， ± s）	手术方式(例)		原发腹腔疾病(例)
组别	例数	男/女	平均年龄（岁， ± s）	急诊手术	择期手术	消化道穿孔	腹股沟疝	胆道梗阻	胆囊结石
A组	32	20/12	69.3 ± 2.5	24	8	11	7	6	8
B组	32	19/13	68.3 ± 2.7	23	9	11	9	5	7
统计值	?	χ² = 0.066	t = 1.537	χ² = 0.080		χ² = 0.321
P值	?	0.798	> 0.050	0.778		0.852

组别	例数	脑梗死（脑栓塞）	脑出血	心肌梗死	心肌缺血	ST段改变	心力衰竭	心律失常
A组	32	11(6)	4	6	5	9	2	5
B组	32	3(1)	1	1	2	2	0	1
χ²值	?	5.851	1.953	4.010	1.444	5.626	2.065	2.943
P值	?	0.012^a	0.162	0.045^a	0.230	0.018^a	0.151	0.086

组别	例数	脑梗死（脑栓塞）	脑出血	心肌梗死	心肌缺血	ST段改变	心力衰竭	心律失常
A组	32	11(6)	4	6	5	9	2	5
B组	32	3(1)	1	1	2	2	0	1
χ²值	?	5.851	1.953	4.010	1.444	5.626	2.065	2.943
P值	?	0.012^a	0.162	0.045^a	0.230	0.018^a	0.151	0.086

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