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目的 :探讨胸部肿瘤病人术后并发心律失常的原因和预防、治疗措施。方法 :采用惠普 7835 2 -C型多功能生命监护仪 ,术后连续监护 72h ,详细记录心律失常出现的时间、类型、治疗方法及效果。结果 :术后 2 4h各种心律失常的发生率明显高于术后 48h、72h ;而同期观察的 5 86例胸部肿瘤病人术前心电图异常与正常者 ,术后心律失常发生率分别为 2 4.4%( 2 4/98)和 2 2 .9% ( 112 /488) ,两者之间无显著差异 (P >0 .0 5 )。结论 :系统的围手术期处理是预防术后并发心律失常和手术成功的关键。
Objective : To investigate the causes of postoperative arrhythmia in thoracic tumor patients and their prevention and treatment measures. Methods: The HP 7835 2-C multi-functional life monitor was used for continuous monitoring for 72 hours. The time, type, treatment method and effect of arrhythmia were recorded in detail. RESULTS: The incidence of various arrhythmias at 24 h after operation was significantly higher than that at 48 h and 72 h after operation. The incidence of postoperative arrhythmia was 2 4.4 in patients with abnormal electrocardiogram and normal preoperative ECG. % (24/98) and 22.9% (112/488), with no significant difference between the two (P > 0.05). Conclusion: The perioperative management of the system is the key to prevent postoperative concurrent arrhythmia and successful operation.