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一般认为,老年心肌梗塞患者心脏储备低下,施行非心脏手术并发症多,危险性大,甚至可诱发再梗塞。本文就35例>60岁的心肌梗塞患者施行非心脏手术加以分析,并着重讨论手术的安全性和围手术期的内科处理原则。作者认为:(1)对于老年患者,手术时机的选择与手术成败关系极大,因此手术时机的选择取决于心肌梗塞的危险性与手术迫切性的相互比重;(2)采用危险因素记分法获得心脏危险指数,有助
Generally believed that elderly patients with myocardial infarction heart reserve is low, the implementation of non-cardiac surgery and more complications, dangerous, and even induce recanalization. In this paper, 35 patients> 60 years of myocardial infarction patients underwent non-cardiac surgery were analyzed, and focused on the safety of surgery and perioperative medical treatment principles. The author thinks: (1) For elderly patients, the timing of surgery has a great relationship with the success or failure of surgery. Therefore, the timing of surgery depends on the relative weight of risk of myocardial infarction and surgical urgency; (2) Heart hazard index, helpful