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再論心臟病人術前評估

患者女,76歲,因左側股骨頭骨折入院,打算做全髖置換術。患者既往有高血壓病史20年,血壓控制不好,在160/100,09年有過腦梗塞病史,左側肢體受累,目前恢復較好。臥床時經常感到胸悶、心慌。心功能3級左右,無暈厥史。血紅蛋白110g/l,有低蛋白血症,心電圖提示頻發室性早搏,6到10次/分,看QRS形態單源性。沒有做胸片和心臟超聲檢查是因為患者臥床不方。這樣的病人怎麼樣才能手術,危險性有多大呢?

原始連結:http://anes.dxy.cn/bbs/topic/19249882




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