마취과 자문 418례에 대한고찰-수술환자의 마취과적 문제점과 대책

Abstract

418 surgical patients with anesthetic problems were evaluated preoperatively, according to age, sex, department and their problems. In addition to this evaluation, we mentioned special peri operative anesthetic managements of the patients who had have cardiopulmonary disorders, neurosurgical diseases, hepatic dysfunctions, diabetes mellitus and hyperthyroidism. The findings obtained from the evaluation were as follows. 1. The most prominant age group was 41 to 50 years, showing 22.596. It is interesting that the ratio occupied by the patients under 1 year and over 70 years was 7.996. 2. The sex distributions were 57.2% in male and 42.896 in famale. 3. Related to departments, cardiothoracic surgery, general surgery, orthopedic surgery and obstetrics and gynecology were 30.996, 20.896, 12.996 and 11. 796 respectively. 4. Related to problems, cardiopulmonary disorders occupied 60.296, suggesting that the anesthesiologists should focus their interest mainly on cardiopulmonary system in preansthetic consultation. Moreover hepatic dysfunction, diabetes mellitus and hyperthyroidism were main anesthesia-related problems. So perioperative managements of above mentioned cases were reviewed with several references of literature,