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目的 :探讨老年人全身麻醉 (全麻 )手术后呼吸衰竭的原因及其防治方法。方法 :观察和总结 34 0例 6 5岁以上病人全麻手术后呼吸衰竭的发生情况。结果 :呼吸衰竭在全组的总发生率为 6 .18% ;6 5～ 75岁与 75岁以上两组的发生率分别为 4.81%和2 1.41% ,差异有非常显著性 (P <0 .0 1) ;术前有呼吸系统疾病和无呼吸系统疾病两组的发生率分别为 9.6 8%和 4.86 % ,差异有显著性 (P <0 .0 5 ) ;上腹部和非上腹部手术两组的发生率分别为 12 .96 % ,3.0 2 % ,差异有非常显著性 (P <0 .0 1)。结论 :老年人全麻手术后易发生呼吸衰竭 ,与病人高龄、原有呼吸系统疾病和手术部位有关。应注意预防和及时处理。
Objective: To investigate the causes of respiratory failure after general anesthesia (general anesthesia) in the elderly and its prevention and treatment. Methods: To observe and summarize the incidence of respiratory failure after general anesthesia in 34 0 patients over 6 years old. Results: The total incidence of respiratory failure in the whole group was 6.18%. The incidence rates of respiratory failure in the whole group were 4.81% and 2.41% respectively, with a significant difference (P <0. 0 1). The incidence of preoperative respiratory diseases and non-respiratory diseases were 9.6 8% and 4.86%, respectively, with significant difference (P0.05) The incidence of group was 12.96% and 3.02% respectively, the difference was significant (P <0.01). Conclusion: The general anesthesia in elderly patients prone to respiratory failure, and the elderly patients, the original respiratory diseases and surgical sites. Should pay attention to prevention and timely treatment.