高龄患者同种异体肝移植术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient undergoing allogeneic liver transplantation

作　　者：杨智勇 陆智杰 喻文立[3] 刘炜 欧晏娇 彭志红 鲁开智 薛张纲 王天龙[7] 易斌 Yang Zhiyong;Lu Zhijie;Yu Wenli;Liu Wei;Ou Yanjiao;Peng Zhihong;Lu Kaizhi;Xue Zhanggang;Wang Tianlong;Yi Bin(Department of Anesthesiology,The First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing 400038,China;Department of Anesthesiology,Shanghai East Hepatobiliary Surgery Hospital,Shanghai 200433,China;Department of Anesthesiology,Tianjin First Central Hospital,Tianjin 300190,China;Department of Hepatobiliary Surgery,The First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing 400038,China;Department of Gastroenterology,The First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing 400038,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)

机构地区：[1]陆军军医大学第一附属医院手术麻醉科,重庆400038 [2]上海东方肝胆外科医院麻醉科,上海200433 [3]天津市第一中心医院麻醉科,天津300190 [4]陆军军医大学第一附属医院肝胆科,重庆400038 [5]陆军军医大学第一附属医院消化内科,重庆400038 [6]复旦大学附属中山医院麻醉科,上海200032 [7]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》2022年第1期102-105,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77岁,体重72 kg,身高168 cm,BMI 25.5 kg/m^(2)。发现乙肝抗原阳性30年,1月前无明显诱因出现全身酸软乏力、黄疸,便血5 d。以抗感染、纠正凝血功能等对症支持治疗,拟在全身麻醉下行同种异体肝移植术。(2)既往史:糖尿病病史,目前血糖控制尚可;5 d前行胃镜下胃底静脉曲张组织胶治疗术;胃镜:食道胃底静脉曲张、门静脉高压性胃病、十二指肠球部溃疡(A1期)。

关 键 词：胃底静脉曲张 病史摘要 门静脉高压性胃病 十二指肠球部溃疡 高龄患者 对症支持治疗 围术期管理 血糖控制 

分 类 号：R614[医药卫生—麻醉学]