合并高血压高龄患者颈动脉内膜剥脱术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients with hypertension undergoing carotid endarterectomy

作　　者：王爽[1] 吕黄伟[1] 韩如泉[2] 赵丽云[3] 焦力群[4] 华扬[5] 谷天祥[6] 辛世杰[7] 薛张纲 马虹[1] 王天龙[9] 黄宇光[10] Wang Shuang;Lyu Huangwei;Han Ruquan;Zhao Liyun;Jiao Liqun;Hua Yang;Gu Tianxiang;Xin Shijie;Xue Zhanggang;Ma Hong;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,China Medical University First Hospital,Shenyang 110001,China;Department of Anesthesiology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;Department of Anesthesiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Radiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Ultrasonography,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiac Surgery,China Medical University First Hospital,Shenyang 110001,China;Department of Vascular Surgery,China Medical University First Hospital,Shenyang 110001,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking Union Medical College Hospital Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医科大学附属第一医院麻醉科,沈阳110001 [2]首都医科大学附属北京天坛医院麻醉科,100050 [3]首都医科大学附属北京安贞医院麻醉科,100029 [4]首都医科大学宣武医院放射科,北京100053 [5]首都医科大学宣武医院血管超声诊断科,北京100053 [6]中国医科大学附属第一医院心脏外科,沈阳110001 [7]中国医科大学附属第一医院血管外科,沈阳110001 [8]复旦大学附属中山医院麻醉科,上海200032 [9]首都医科大学宣武医院麻醉科,北京100053 [10]中国医学科学院北京协和医学院北京协和医院麻醉科,100730

出　　处：《中华麻醉学杂志》2021年第4期393-396,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者男性,84岁。因"颈动脉狭窄5年,10 d前一过性晕厥"入院。患者10 d前无明显诱因出现晕厥,持续10 min左右,之后四肢活动等无明显异常,经超声检查后,诊断为颈动脉狭窄,拟行颈动脉内膜剥脱术。(2)既往史:高血压病史4年余,最高170/100 mmHg(1 mmHg=0.133 kPa),平日规律应用替米沙坦降压,血压控制在130~150/70~80 mmHg,左右上肢血压一致。

关 键 词：颈动脉狭窄 颈动脉内膜剥脱术 上肢血压 病史摘要 一过性晕厥 高龄患者 围术期管理 超声检查 

分 类 号：R614[医药卫生—麻醉学]