合并严重心脏疾病老年患者腹股沟疝修补术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with severe heart disease undergoing inguinal hernia repair

作　　者：龚丽[1] 李云丽[1] 欧阳文[1] 尹欣林[1] 彭丽萍[2] 唐秋萍[3] 张林忠[4] 林献忠[5] 李治松 李非[7] 张爱华 薛张纲 王天龙[10] Gong Li;Li Yunli;Ouyang Wen;Yin Xinlin;Peng Liping;Tang Qiuping;Zhang Linzhong;Lin Xianzhong;Li Zhisong;Li Fei;Zhang Aihua;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Third Xiangya Hospital,Central South University,Changsha 410000,China;Department of Cardiology,Third Xiangya Hospital,Central South University,Changsha 410000,China;Department of Clinical Psychology,Third Xiangya Hospital,Central South University,Changsha 410000,China;Department of Anesthesiology,Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Anesthesiology,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China;Department of Anesthesiology,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital Capital Medical Hospital,Beijing 100053,China)

机构地区：[1]中南大学湘雅三医院麻醉科,长沙410000 [2]中南大学湘雅三医院心内科,长沙410000 [3]中南大学湘雅三医院临床心理科,长沙410000 [4]山西医科大学第二医院麻醉科,太原030001 [5]福建医科大学附属第一医院麻醉科,福州350004 [6]郑州大学第二附属医院麻醉科,450052 [7]首都医科大学宣武医院普通外科,北京100053 [8]首都医科大学宣武医院肾病科,北京100053 [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12期1428-1432,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄67岁,主诉"发现右下腹包块7 d,伴疼痛3 d"入院。患者7 d前发现右下腹部包块,平躺可回纳,3 d前自觉包块部位胀痛。发病以来精神、体力、食欲、睡眠一般,无头痛头晕、无胸闷心悸,无夜间阵发性呼吸困难、无咳嗽、咳痰。拟行右侧腹股沟疝修补术。

关 键 词：下腹部包块 阵发性呼吸困难 腹股沟疝修补术 老年患者 围术期管理 咳痰 严重心脏疾病 头痛头晕 

分 类 号：R541[医药卫生—心血管疾病] R656.21[医药卫生—内科学]