合并陈旧性心肌梗死的急腹症老年患者行急诊剖腹探查术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients with acute abdomen and old myocardial infarction undergoing emergency exploratory laparotomy

作　　者：陈梦媛 路志红 王永徽 林菁菁 王东信[2] 张宗泽[3] 魏新川[4] 徐桂萍[5] 梁玥 肖东 薛张纲 王天龙[9] Chen Mengyuan;Lu Zhihong;Wang Yonghui;Lin Jingjing;Wang Dongxin;Zhang Zongze;Wei Xinchuan;Xu Guiping;Liang Yue;Xiao Dong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Perioperative Medicine,Xijing Hospital of Air Force Military Medical University,Xi′an 710032,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100032,China;Department of Anesthesiology,Zhongnan Hospital,Wuhan University,Wuhan 430071,China;Department of Anesthesiology,Sichuan Provincial People′s Hospital,Chengdu 610072,China;Department of Anesthesiology,Xinjiang People′s Hospital,Urumchi 830001,China;Department of Emergency,Xinjiang People′s Hospital,Urumchi 830001,China;Department of Critical Care Medicine,Xinjiang People′s Hospital,Urumchi 830001,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]空军军医大学附属西京医院麻醉与围术期医学科,西安710032 [2]北京大学第一医院麻醉科,100032 [3]武汉大学中南医院麻醉科,430071 [4]四川省人民医院麻醉科,成都610072 [5]新疆自治区人民医院麻醉科,乌鲁木齐830001 [6]新疆自治区人民医院急诊科,乌鲁木齐830001 [7]新疆自治区人民医院重症医学科,乌鲁木齐830001 [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7期772-775,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:女性患者,72岁,BMI 23.0 kg/m^(2)。因"上腹部胀痛11 d"入院。患者11 d前开始出现上腹部胀痛,伴恶心、呕吐,呕吐物为胃内容物,于外院行核磁胰胆管成像示胆总管结石并肝内外胆管扩张,胆囊结石,胆囊炎,予抗感染、保肝、补液等治疗后缓解,为进一步治疗来我院消化内科就诊。

关 键 词：肝内外胆管 病史摘要 陈旧性心肌梗死 老年患者 核磁胰胆管成像 胃内容物 围术期管理 胆总管结石 

分 类 号：R614[医药卫生—麻醉学]