老年冠心病病人行左膝关节翻修术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients with coronary heart disease undergoing revision total knee arthroplasty

作　　者：孟昭婷[1] 吕建瑞[2] 褚海辰[3] 马靖[4] 曹永平[5] 郭宏杰[6] 王东信[1] 邓小明 薛张纲 薛荣亮[2] 王天龙[9] Meng Zhooting;Lyu Jianrui;Chu Haichen;Ma Jing;Cao Yongping;Guo Hongjie;Wang Dong-xin;Deng Xiaoming;Xue Zhanggang;Xue Rongliang;Wang Tianlong(Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,The Second Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710004,China;Department of Anesthesiology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Respiratory Medicine,Peking University First Hospital,Beijing 100034,China;Department of Orthopaedics,Peking University First Hospital,Beijing 100034,China;Department of Vascular Surgery,Peking University First Hospital,Beijing 100034,China;Faculty of Anesthesiology,Changhai Hospital,Naval Medical University,Shanghai 200433,China;Department of Anesthesiology,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]北京大学第一医院麻醉科,100034 [2]西安交通大学第二附属医院麻醉科,710004 [3]青岛大学附属医院麻醉科,266003 [4]北京大学第一医院呼吸科,100034 [5]北京大学第一医院骨科,100034 [6]北京大学第一医院血管外科,100034 [7]海军军医大学附属长海医院麻醉学部,上海200433 [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手术科,北京100053

出　　处：《中华麻醉学杂志》2021年第8期901-905,共5页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:病人女性,年龄82岁,因"左膝人工关节置换术后20年,左膝疼痛5年进行性加重"入院。20年前因左膝关节骨关节病行人工关节置换术,近5年疼痛进行性加重,近3个月疼痛程度严重影响日常生活。拟在腰硬联合麻醉下行左膝关节翻修术。

关 键 词：进行性加重 人工关节置换术 左膝关节 腰硬联合麻醉 病史摘要 翻修术 老年冠心病 膝关节骨关节病 

分 类 号：R614[医药卫生—麻醉学]