肠穿孔伴脓毒性休克老年患者腹腔镜探查术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients with intestinal perforation complicated with septic shock undergoing laparoscopic exploration

作　　者：王蓓 黄宇光[2] 薛张纲 王天龙[4] 闫文军[5] 吴多志[6] 王晶[7] 安友仲[8] 崔云峰 弓艳霞 余剑波 Wang Bei;Huang Yuguang;Xue Zhanggang;Wang Tianlong;Yan Wenjun;Wu Duozhi;Wang Jing;An Youzhong;Cui Yunfeng;Gong Yanxia;Yu Jianbo(Department of Anesthesiology and Care Medicine,Tianjin Hospital of ITCWM Nankai Hospital,Tianjin 300102,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Gansu Provincial People′s Hospital,Lanzhou 730013,China;Department of Anesthesiology,Hainan General Hospital,Haikou 570311,China;Emergency Department,Xuanwu Hospital,Ca-pital Medical University,Beijing 100053,China;ICU,Peking University People′s Hospital,Beijing 100044,China;Department of General Surgery,Tianjin Hospital of ITCWM Nankai Hospital,Tianjin 300102,China;Department of Gastroenterology,Tianjin Hospital of ITCWM Nankai Hospital,Tianjin 300102,China)

机构地区：[1]天津市中西医结合医院南开医院麻醉与重症医学科,300102 [2]中国医学科学院北京协和医学院北京协和医院麻醉科,100730 [3]复旦大学附属中山医院麻醉科,上海200032 [4]首都医科大学宣武医院麻醉手术科,北京100053 [5]甘肃省人民医院麻醉科,兰州730013 [6]海南省人民医院麻醉科,海口570311 [7]首都医科大学宣武医院急诊科,北京100053 [8]北京大学人民医院ICU,100044 [9]天津市中西医结合医院普外科,300102 [10]天津市中西医结合医院消化内科,300102

出　　处：《中华麻醉学杂志》2021年第9期1075-1078,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,年龄66岁,16 h前无明显诱因出现下腹部持续剧烈疼痛,伴恶心,无呕吐,无寒战发热,无腰背部放射痛。就诊于外院查B超示:腹腔内肠胀气明显,脂肪肝。血常规示:WBC 10.40×10^(9)/L,中性粒细胞(NEUT)计数76.10×10^(9)/L。为求进一步治疗,就诊于本院急诊。

关 键 词：脓毒性休克 病史摘要 老年患者 肠胀气 寒战发热 中性粒细胞 腰背部 下腹部 

分 类 号：R614[医药卫生—麻醉学]