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METHOD FOR PREDICTION OF POSTOPERATIVE DELIRIUM IN ELDERLY PATIENTS AFTER THORACIC OPERATIONS

机译:胸外科手术后老年患者术后并发症的预测方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation, can be used in anesthesiologic and postoperative management of elderly patients with a thoracic pathology. In the elderly patients subjected to thoracic surgeries, values of the following values are determined: patient's physical status by American Society of Anesthesiologists classification; acute cerebrovascular accident in anamnesis; presence or absence of chronic cardiac failure; presence or absence of MAST test alcoholism (Michigan test with self-assessment); operation duration; episodes of hypoxemia and arterial hypotension during operation; volume of intraoperative infusion; intensity of pain syndrome by 10-point visual analogue scale 60 minutes after operation. Derived values are used to determine the prognostic coefficient by the declared formula. If the prognostic factor is 1.7 or higher, there is a high risk of delirium developing. If the prognostic factor is less than 1.7, there is a low risk of developing delirium following thoracic surgeries.;EFFECT: method provides timely prevention of delirium and enables improving quality of life of patients by evaluating the complex of the most significant risk factors.;1 cl, 2 dwg, 1 tbl, 2 ex
机译:领域:药物;发明:本发明是指药物,即麻醉学和复苏术,可用于老年胸椎病患者的麻醉和术后处理。在接受胸外科手术的老年患者中,确定以下值:通过美国麻醉医师协会分类的患者身体状况;记忆中的急性脑血管意外;是否存在慢性心力衰竭;是否存在MAST测试酒精中毒(带有自我评估的密歇根州测试);手术时间手术中低氧血症和动脉低血压发作;术中输注量;术后60分钟以10点视觉模拟量表评估疼痛综合症的强度。得出的值用于通过声明的公式确定预后系数。如果预后因素为1.7或更高,则发生ir妄的风险很高。如果预后因素小于1.7,则开胸手术后发生del妄的风险较低。效果:该方法可通过评估最重要的风险因素的复杂性,及时预防prevention妄,并改善患者的生活质量。 1 cl,2 dwg,1 tbl,2 ex

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