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近年,日本缺血性心脏病的发生率逐年增加,高龄患者的外科手术也增多。所以,合并术后心肌梗塞(PMI)的可能性增高,PMI60%以上在术后3日以内发生,由于创口痛和麻醉的影响,症状不易发现,多在出现心律不齐和血行动态恶化时才得以诊断,结果导致严重的后果。所以,对PMI防患于未然是必要的。本文就合并缺血性心脏疾患的术前诊断及其对策做一概述。
In recent years, the incidence of ischemic heart disease in Japan has increased year by year, and the number of elderly patients has also increased. Therefore, the possibility of postoperative myocardial infarction (PMI) increased, PMI more than 60% occurred within 3 days after the operation, due to wound pain and anesthesia, the symptoms are not easy to find, and more in the event of arrhythmia and blood dynamic deterioration To be diagnosed, the results lead to serious consequences. Therefore, it is necessary to take preventive measures against PMI. This article summarizes the preoperative diagnosis of ischemic heart disease and its countermeasures.