超高龄患者腹腔镜肾癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of patients of advanced age undergoing laparoscopic radical nephrectomy

作　　者：仲崇琳 徐军美 嵇富海[3] 张爱华 范晋海[5] 卢群[6] 薛张纲 黄宇光[8] 王天龙[1] Zhong Chonglin;Xu Junmei;Ji Fuhai;Zhang Aihua;Fan Jinhai;Lu Qun;Xue Zhanggang;Huang Yuguang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Xiangya Second Hospital,Central South University,Changsha 410011,China;Department of Anesthesiology,Suzhou First People′s Hospital,Suzhou 215006,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Urology,The First Affiliated Hospital,Xi′an Jiao Tong University,Xi′an 710061,China;Department of Cardiology,The First Affiliated Hospital,Xi′an Jiao Tong University,Xi′an 710061,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]中南大学湘雅二院麻醉科,长沙410011 [3]苏州大学附属第一医院麻醉科,215006 [4]首都医科大学宣武医院肾脏内科,北京100053 [5]西安交通大学第一附属医院泌尿外科,710061 [6]西安交通大学第一附属医院心内科,710061 [7]复旦大学附属中山医院麻醉科,上海200032 [8]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11期1290-1293,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,90岁,因"发现左肾占位2月余"入院。2月余前行腹部CT检查提示:左肾占位,肾癌可能性大。患者伴有食欲下降。收入本院泌尿外科,拟在全身麻醉下行腹腔镜肾癌根治术。(2)既往史:高血压病史45年,血压最高可达180/90 mmHg(1 mmHg=0.133 kPa),规律服用硝苯地平缓释片、缬沙坦氢氯噻嗪片、卡维地洛,血压控制在120~130/70~80 mmHg;冠心病史10余年,服用单硝酸异山梨酯片,阿司匹林肠溶片(已停10余天);高脂血症,服用氟伐他汀缓释片,降脂灵分散片.

关 键 词：病史摘要 冠心病史 阿司匹林肠溶片 硝苯地平缓释片 围术期管理 超高龄患者 肾占位 泌尿外科 

分 类 号：R737.11[医药卫生—肿瘤]