International Journal of Clinical Research. 2021; 5: (1) ; 10.12208/j.ijcr.20210007.
Objective: to analyze the anesthetic treatment and effect of critical acute abdomen in the elderly. Methods: 71 elderly patients with critical acute abdomen underwent surgery as the object of study. The effective anesthetic methods were selected according to the physiological and pathological characteristics of the patients, and the anesthetic effect, prognosis and related problems were analyzed. Results: among the 71 patients, 18 cases underwent epidural anesthesia, 9 cases had hypotension (only 30% of preoperative blood pressure), 5 cases had persistent oxygen saturation < 89%, 2 cases had respiratory and cardiac arrest, 25 cases underwent endotracheal intubation general anesthesia, 3 cases had hypotension, 2 cases had persistent oxygen saturation < 89%, 0 cases had respiratory and cardiac arrest. 28 cases underwent epidural anesthesia combined with general anesthesia, 2 cases had hypotension, 3 cases had persistent oxygen saturation < 89%, and 0 cases had respiratory and cardiac arrest.Two patients with respiratory and cardiac arrest were changed to general anesthesia after endotracheal intubation successfully completed the operation. All 71 patients completed anesthetic treatment successfully. After 5-day follow-up, 1 patient died (died of multiple organ failure caused by shock after severe pancreatitis), and 3 patients had severe cardiopulmonary dysfunction complications. after symptomatic treatment, all the patients were significantly improved, and 70 patients were recovered and discharged from hospital. Conclusion : in the surgical treatment of elderly patients with critical acute abdomen, the appropriate mode of anesthesia should be selected according to the age, body function, condition and other factors of the elderly patients, so as to ensure the smooth completion of the operation and benefit the prognosis of the patients.