Clinical analysis of 531 cases of abdominal surgery with hypertension.
- VernacularTitle:高血压病人腹部外科手术531例临床分析
- Author:
Jing WANG
;
Yantao WU
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Surgery
2001;21(5):280-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate adbomen surgery in patients who are found to have poorly controlled or untreated hypertension before operation.Methods From January 1997 to December 1998,the perioperative clinical data of 531 patients with hypertension and undergoing abdomen surgery in our hospital were retrospectively analyzed.Results The incidences of perioperative hypertensive events were not significantly different,between controlled and uncontrolled patients with grade one and grade two (P>0.05).In grade three and systolic hypertension,certain perioperative complications in patients with poorly controlled hypertension were higher than in those with well-controlled hypertension(P<0.05).Conclusion The patients with grade on e and grade two hypertension are not at increased operative risk.In Patients with grade three and systolic hypertension,perioperative complications are increased and elective surgery should be postponed until their blood pressure is brought under 180/110 mmHg over 1 to 2 weeks.
