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r
目的观察高龄患者剖胸围术期间低体温变化对患者术后恢复的影响。方法选择全麻剖胸高龄患者100例,随机分为常规组和保温组两组。常规组50例患者围术期未实行保暖措施,保温组50例术中采取电子液体加温仪输液,术后使用电热毯保温,观察两组患者围术期体温、血压、心率变化及术后引流量的多少和寒颤的发生率。结果与保温组相比,常规组患者术后体温下降、心率血压变化明显,同时引流量增加、寒颤的发生率增高,两组比较差异有统计学意义。结论高龄患者剖胸围术期维持正常体温,有利于避免潜在的术后并发症,有助于患者康复。r
  关键词高龄围术期护理低温胸廓切开术r
  中图分类R4723文献标识码B编16739701201601009303r
  Thecauseofhypothermiai
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  AbstractObjectiveToobservetheimpactofhypothermiai
perioperativeagedpatie
tsreceivi
gthoracotomyo
postoperativerecoveryMethodsAtotalof100agedpatie
tsreceivi
gthoracotomyu
derge
erala
esthesiawereselecteda
dra
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dthethermali
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theregulargroupdid
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measuresduri
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gesi
perioperativetemperature,bloodpressurea
dheartrate,a
dpostoperativedrai
agevolumea
dtherateofchillwereobservedResultsComparedwiththethermali
sulatio
group,theregulargrouphadlowertemperature,sig
ifica
tcha
gesi
heartratea
dbloodpressure,moredrai
agevolumea
dhigherrateofchillaftersurgery,withstatisticaldiffere
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i
g
ormaltemperatureforperioperativeagedpatie
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  KeywordsAgedPerioperative
ursi
gHypothermiaThoracotomyr
  围术期低体温是患者在接受外科手术时经常遇见的问题,低体温所带来的危险因素也日益受到人们的重视。剖胸手术由于时间长、创口暴露面积大、静脉输注大量低温液体、术野冲洗广泛,更容易发生低体温的现象。为了提高手术成功率,降低术后并发症,我们对100例70岁以上的剖胸手术患者围手术期的临床指标进行观察,探讨老年剖胸患者围手术期低体温r
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