Objective To evaluate whether to defer abdomen surgery in patients having poorly controlled or untreated hypertension before operation. MethodsThe perioperative clinical data of 531 patients with hypertension in our hospital from January 1997 to December 1998 was retrospectively analyzed. ResultsThe modility of perioperative hypertensive events was not significantly different, between controlled and uncontrolled patients with grade one and grade two（P gt;0.05）. In grade three and systolic hypertension, certain complications in patients with poorly controlled hypertension were higher than in those with wellcontrolled hypertension（P＜0.05）. Conclusion The patients with grade one and grade two hypertension are not at increased operative risk. In patients with grade three and systolic hypertension, perioperative complications are increased and elective surgery should be postponed until their blood pressure is brought under 24/14.7 kPa （180/110 mm Hg） over 1 to 2 weeks.
Citation：
WANG Jing,WU Yantao. The Relationship Between Hypertension and Perioperative Complications in patients Undergoing Abdomen Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(2): 115-117. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 叶任高主编.内科学 [M]. 第5版.北京： 人民卫生出版社，2000∶258.
- 2. 曹金铎,周新平. 冠心病、高血压病病人与外科手术 [J]. 中国实用外科杂志，1993; 13(10)∶579.
- 3. Stone JG, Foex P, Sear JW, et al. Risk of nyocardial ischemia during anaesthesia in treated and untreated hypertensive patients [J]. Br J Anaesth， 1988; 61(6)∶675.
- 4. PrysRoberts C, Meloche R, Foex P. Studies of anaesthesia in relation to hypertension I: Cardiovascular responses of treated and untreated patients [J]. Br J Anaesth， 1971; 42(2)∶12.
- 5. Goldman L, Caldera DL. Risks of general anesthesia and elective operation in the hypertensive patient [J]. Anesthesiology, 1979; 50(4)∶285.
- 6. Cooperman M, Pflug B, Martin EW，et al. Cardiovascular risk factors in patients with peripheral vascular disease [J].Surgery， 1978; 84(4)∶505.
- 7. Wolfsthal SD. Is blood pressure control necessary before surgery [J]? Med Clin Am, 1993; 77(2)∶349.
