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本文以124例老年拔牙病人为对象,对其在手术前、局麻后、拔牙后的呼吸、心率、血压及心电图进行了监护。并根据所测得的结果作自身对照和分析。以观察含肾上腺素的普鲁卡因作局麻时对心血管的影响。结果表明:含1/50万肾上腺素的普鲁卡因局部麻醉对老年人和一般心血管疾病的患者、甚至有某种心律失常病人的呼吸、心率、血压及心电图均无明显的影响。作者认为:含1/50万肾上腺素的局麻药物对高龄病人麻醉、拔牙是安全的,不应视为禁忌。
In this paper, 124 elderly patients with tooth extraction as the object, its preoperative, local anesthesia, tooth extraction after respiration, heart rate, blood pressure and ECG were monitored. And based on the measured results for their own control and analysis. To observe the epinephrine-containing procaine for local anesthetic on cardiovascular effects. The results showed that local anesthesia with 1 / 500,000 epinephrine had no significant effect on respiration, heart rate, blood pressure and ECG in the elderly and in patients with general cardiovascular disease and even in some patients with arrhythmia. The author believes that: 1,500,000 epinephrine containing local anesthetic drugs for elderly patients with anesthesia, tooth extraction is safe and should not be regarded as a taboo.