冠状动脉三支病变合并重度颈动脉狭窄老年患者左半肝切除术的麻醉与围术期管理  

Anesthetic and perioperative management of elderly patients with three-vessel coronary artery disease and severe carotid artery stenosis undergoing left hemihepatectomy

作　　者：丁玲玲 周瑞玲 柯海[1] 薛张纲 郭曲练[3] 刘红旭[4] 马琦琳[5] 王俊岭[6] 龚学军[7] 张加强[8] 余剑波 王锷[3] 王天龙[10] Ding Lingling;Zhou Ruiling;Ke Hai;Xue Zhanggang;Guo Qulian;Liu Hongxu;Ma Qilin;Wang Junling;Gong Xuejun;Zhang Jiaqiang;Yu Jianbo;Wang E;Wang Tianlong(Department of Anesthesiology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Department of Anesthesiology,Zhongshan Hospital,Fundan University,Shanghai 200032,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Cardiovascular,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Department of Cardiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Neurology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Pancreatic Biliary Surgery,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology and Perioperative Medicine,Henan Provincial People′s Hospital,Zhengzhou 450003,China;Department of Anesthesiology,Nankai Hospital of Tianjin,Tianjin 300100,China;Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学附属北京中医医院麻醉科,100010 [2]复旦大学附属中山医院麻醉科,上海200032 [3]中南大学湘雅医院麻醉科,长沙410008 [4]首都医科大学附属北京中医医院心血管科,100010 [5]中南大学湘雅医院心内科,长沙410008 [6]中南大学湘雅医院神经内科,长沙410008 [7]中南大学湘雅医院胰胆外科,长沙410008 [8]河南省人民医院麻醉与围术期医学科,郑州450003 [9]天津南开医院麻醉科,300100 [10]首都医科大学宣武医院麻醉科,北京100053

出　　处：《中华麻醉学杂志》2021年第1期30-33,共4页Chinese Journal of Anesthesiology

摘　　要：1.病例摘要(1)一般情况:患者男性,年龄74岁。因"间断上腹部胀痛伴食欲不振1年余,发现肝占位性病变1个月"入院。患者1年余前无明显诱因出现上腹痛,1个月前出现上腹部胀痛,就诊于当地医院行腹部CT检查提示肝占位性病变。入院拟行左半肝切除术和胆囊切除术。

关 键 词：肝占位性病变 左半肝切除术 病例摘要 老年患者 围术期管理 重度颈动脉狭窄 腹部CT检查 胆囊切除术 

分 类 号：R614[医药卫生—麻醉学]