[Clinical treatment experience of perioperative nasal endoscopic surgery in patients with cardiovascular disease]

【心血管疾病患者围手术期鼻内镜手术的临床治疗经验】

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Abstract

Objective:To investigate the perioperative management of endoscopic nasal surgery in patients with cardiovascular disease. Method:Sixty-two patients with cardiovascular disease underwent endoscopic sinus surgery. Individualized medical treatment was used according to the patient's perioperative condition, followed by functional endoscopic surgery. Result:Two patients had cardiovascular complications after endoscopic surgery and were transferred to internal medicine. One patient developed massive hemorrhage after operation, and hemostasis was performed again under nasal endoscopic surgery. The remaining 59 patients had no adverse cardiovascular events after operation. There are no complications such as massive hemorrhage, visual impairment, and cerebrospinal fluid rhinorrhea. All patients were followed up for more than half a year, 39 cases(62.90%) of nasal sinus disease were completely controlled, 18 cases(29.03%) of nasal sinus disease were partially controlled, and the effective rate was 91.94%. Conclusion:Reasonable perioperative management measures can reduce the risk of nasal sinus surgery in patients with cardiovascular disease, ensure the successfully implementation of surgery and achieve a successful prognosis.

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