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目的探讨LC术中、术后急性冠状动脉综合征(ACS)发作的原因、诊断、治疗和预防措施。方法回顾分析15例发作ACS老年LC患者的临床资料。结果 15例LC术中诱发ACS 11例、术后诱发4例,发生率为5.6%,患者合并冠心病、高心病、高血糖、高血脂。结论老年人行LC时一定要警惕围术期ACS的发生,术中进行ACS的预防和急救处理。
Objective To investigate the causes, diagnosis, treatment and prevention of acute coronary syndrome (ACS) during and after LC surgery. Methods The clinical data of 15 elderly patients with LC in the attack of ACS were retrospectively analyzed. Results Among the 15 cases, 11 cases were induced by LC and 4 cases were induced by operation. The incidence rate was 5.6%. The patients were complicated with coronary heart disease, hyperglycemia, hyperglycemia and hyperlipidemia. Conclusion LC in the elderly must be alert to the occurrence of perioperative ACS, intraoperative ACS for prevention and emergency treatment.