合并主动脉瓣重度关闭不全老年患者胸腔镜食管癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with severe aortic insufficiency undergoing thoracoscopic radical resection of esophageal cancer

作　　者：陈杨 王芝 贾珍[2] 麻海春[3] 张尉华[4] 彭丽萍[5] 刘存明 吴蔚 彭贵勇 易斌 薛张纲 王天龙[10] Chen Yang;Wang Zhi;Jia Zhen;Ma Haichun;Zhang Weihua;Peng Liping;Liu Cunming;Wu Wei;Peng Guiyong;Yi Bin;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,the First Affiliated Hospital of Army Medical University,Chongqing 400030,China;Department of Anesthesiology,Qinghai University Affiliated Hospital,Xining 810001,China;Department of Anesthesiology,the First Affiliated Hospital of Jilin University,Changchun 130021,China;Department of Cardiology,the First Affiliated Hospital of Jilin University,Changchun 130021,China;Department of Respiratory and Critical Care,the First Affiliated Hospital of Jilin University,Changchun 130021,China;Department of Anesthesiology and Perioperative Medicine,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China;Department of Cardiothoracic Surgery,the First Affiliated Hospital of Army Medical University,Chongqing 400030,China;Department of Gastroenterology,the First Affiliated Hospital of Army Medical University,Chongqing 400030,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]陆军军医大学第一附属医院麻醉科,重庆400030 [2]青海大学附属医院麻醉科,西宁810001 [3]吉林大学第一附属医院麻醉科,长春130021 [4]吉林大学第一附属医院心内科,长春130021 [5]吉林大学第一附属医院呼吸及危重症科,长春130021 [6]南京医科大学第一附属医院麻醉与围术期医学科,210029 [7]陆军军医大学第一附属医院胸外科,重庆400030 [8]陆军军医大学第一附属医院消化内科,重庆400030 [9]复旦大学附属中山医院麻醉科,上海200032 [10]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11期1285-1289,共5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72岁,因"进食哽噎感7个月,加重1个月"入院。患者于7个月前无明显诱因出现进硬食哽噎感,未予重视;1个月前有胸骨后烧灼感,进食哽噎较前加重,随后于外院行胃镜检查发现食管距门齿26~30 cm处可见1/4周茶褐色区域,中间可见结节型隆起及角化,病理活检提示:食管鳞状细胞癌。

关 键 词：食管鳞状细胞癌 病史摘要 病理活检 结节型 围术期管理 角化 老年患者 胃镜检查 

分 类 号：R654.2[医药卫生—外科学] R735.1[医药卫生—临床医学]