合并咳嗽变异性哮喘高龄患者肺叶切除术的麻醉与围术期管理  

Anesthesia and perioperative management for elderly patient with cough variant asthma undergoing lobectomy

作　　者：权翔[1] 申乐[1] 章放香 刘震宇[3] 马冬捷[4] 田欣伦[5] 焦力群[6] 卫华[7] 薛张纲 王天龙[9] 黄宇光[1] Quan Xiang;Shen Le;Zhang Fangxiang;Liu Zhenyu;Ma Dongjie;Tian Xinlun;Jiao Liqun;Wei Hua;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology,People′s Hospital of Guizhou Province,Medical School of Guizhou University,Guiyang 550002,China;Department of Cardiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Respiratory Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院麻醉科,100730 [2]贵州大学医学院附属贵州省人民医院麻醉科,贵阳550002 [3]中国医学科学院,北京协和医学院,北京协和医院心脏内科,100730 [4]中国医学科学院,北京协和医学院,北京协和医院胸外科,100730 [5]中国医学科学院,北京协和医学院,北京协和医院呼吸内科,100730 [6]首都医科大学宣武医院神经外科,北京100053 [7]首都医科大学宣武医院神经内科,北京100053 [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

出　　处：《中华麻醉学杂志》2021年第6期644-646,共3页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄70岁。主因体检发现"右肺上叶后段厚壁空洞"入院。伴有间断咳嗽,否认咳痰、咯血、呼吸困难、胸痛、发热等症状。诊断为:右肺上叶空洞,恶性可能性大;高血压病2级(中危);陈旧性脑梗死;咳嗽变异性哮喘。拟在全麻下行胸腔镜右肺上叶楔形切除术、备右上肺叶切除术、备淋巴结清扫术。(2)既往史:2017年因头晕恶心于外院诊断为脑梗死,目前无后遗症状。

关 键 词：咳嗽变异性哮喘 右肺上叶 病史摘要 淋巴结清扫术 肺叶切除术 厚壁空洞 高龄患者 胸腔镜 

分 类 号：R614[医药卫生—麻醉学]