高龄患者急诊腹腔镜消化道穿孔修补术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients undergoing emergency laparoscopic repair of digestive tract perforation

作　　者：张婷[1] 仲崇琳 冯帅[1] 许亚超[1] 王晶[2] 安友仲[3] 阎文军[4] 崔云峰[5] 吴多志[6] 余剑波[7] 薛张纲 王天龙[1] 黄宇光[9] Zhang Ting;Zhong Chonglin;Feng Shuai;Xu Yachao;Wang Jing;An Youzhong;Yan Wenjun;Cui Yunfeng;Wu Duozhi;Yu Jianbo;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Emergency,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Intensive Care Unit,Peking University People′s Hospital,Beijing 100044,China;Department of Anesthesiology,Gansu Provincial Hospital,Lanzhou 730013,China;Department of General Surgery,Tianjin Nankai Hospital,Tianjin 300100,China;Department of Anesthesiology,Hainan General Hospital,Haikou 570311,China;Department of Anesthesiology,Tianjin Nankai Hospital,Tianjin 300100,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,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]首都医科大学宣武医院麻醉手术科,北京100053 [2]首都医科大学宣武医院急诊科,北京100053 [3]北京大学人民医院ICU,100044 [4]甘肃省人民医院麻醉科,兰州730013 [5]天津市南开医院普通外科,300100 [6]海南省人民医院麻醉科,海口570311 [7]天津市南开医院麻醉科,300100 [8]复旦大学附属中山医院麻醉科,上海200032 [9]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9期1069-1074,共6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,年龄92岁。因"纳差10余天,加重1 d"入院。患者10余天前无明显诱因出现纳差,1 d前出现剧烈腹痛,拒按,伴恶心、呕吐。无排气排便4 d,无寒战发热,无血尿、腰痛,无咳嗽、咳痰等。1 d前就诊外院,腹部CT及超声检查均发现腹腔游离气体,怀疑消化道穿孔,给予输液治疗。

关 键 词：消化道穿孔 剧烈腹痛 病史摘要 寒战发热 腹腔游离气体 高龄患者 腹部CT 拒按 

分 类 号：R614[医药卫生—麻醉学]