| 摘要: |
| ［摘要］ 目的 探讨合理评估和处理术前存在频发室性早搏的妇科患者的方法。方法 回顾性分析48例术前存在频发室性早搏的妇科患者和与同期术前心电图检查正常妇科患者41例的临床资料，比较两组术前准备时间和术后住院时间，彩超发现心脏器质性病变阳性率，动态心电图检查呈现成对、二联律、三联律或多源的比率和心率变异性下降的比率。结果 频发室性早搏组术前准备时间长于正常对照组(P<0.05)，术后住院时间差异无统计学意义(P>0.05)，彩超检查发现心脏器质性病变阳性率为4.2%，呈现成对、二联律、三联律或多源的比率为68.8%，心率变异性下降比率为45.8%。结论 频发室性早搏延长患者术前准备时间，不延长其术后住院时间。彩超对心脏器质性病变的检出率较低。 |
| 关键词: 频发室性早搏 妇科患者 围手术期处理 |
| DOI：10.3969/j.issn.1674-3806.2015.04.21 |
| 分类号:R 541.7 |
| 基金项目: |
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| Analysis on the perioperative management of 48 cases of gynecological patients with frequent premature ventricular contractions before operation |
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MO Zhu-quan, MA Li
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Department of Anesthesiology, the People′s Hospital of Xincheng County, Guangxi 546200,China
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| Abstract: |
| ［Abstract］ Objective To investigate the reasonable assessment and treatment methods for gynecological patients with frequent premature ventricular contractions（PVCs） before surgery.Methods A retrospective analysis was performed on the management of 48 cases with the presence of frequent premature ventricular contractions before gynecological surgery（PVCs group）. During the same time of operation as PVCs group, 41 patients with normal ECG before gynecological surgery(laparoscopic surgery in 23 cases, open surgery in 18 cases) were selected as control group. Time of surgery preparation and postoperative hospital stay and the positive rate of cardiac abnormality were recorded and compared between the two groups.Results Preoperative preparation time was longer in frequent PVCs group than that in the control group(P<0.05). Time of postoperative hospital stay had no significant difference(P>0.05). Ultrasound examination revealed that cardiac abnormality positive rate was 4.2% in PVCs group, showing as in pairs, bigeminal, trigeminy and multifocal of 68.8%, and showing heart rate variability decreased by 45.8%.Conclusion Frequent PVCs extends preoperative preparation time, but does not extend the time of hospital stay. Ultrasound examination shows lower rate of detecting cardiac abnormality. |
| Key words: Frequent premature ventricular contractions Gynecological patients Perioperative management |
