心脏起搏器植入术后超高龄患者后颅窝血肿清除术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient undergoing posterior fossa hematoma removal after pacemaker implantation

作　　者：阚敏慧[1] 冯帅[1] 王宁[2] 李桂林[2] 严敏[3] 蒋峻[4] 王晓斌 韩如泉[6] 薛张纲 肖玮[1] 王天龙[1] 宋水江[8] Kan Minhui;Feng Shuai;Wang Ning;Li Guilin;Yan Min;Jiang Jun;Wang Xiaobin;Han Ruquan;Xue Zhanggang;Xiao Wei;Wang Tianlong;Song Shuijiang(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Second Affiliated Hospital,Medical School of Zhejiang University,Hangzhou 310003,China;Department of Cardiology,Second Affiliated Hospital,Medical School of Zhejiang University,Hangzhou 310003,China;Department of Anesthesiology,Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Department of Anesthesiology,Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Neurology,Second Affiliated Hospital,Medical School of Zhejiang University,Hangzhou 310003,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]首都医科大学宣武医院神经外科,北京100053 [3]浙江大学医学院附属第二医院麻醉手术部,杭州310003 [4]浙江大学医学院附属第二医院心内科,杭州310003 [5]西南医科大学附属医院麻醉科,泸州646000 [6]首都医科大学附属北京天坛医院麻醉科,北京100070 [7]复旦大学附属中山医院麻醉科,上海200032 [8]浙江大学医学院附属第二医院神经内科,杭州310003

出　　处：《中华麻醉学杂志》2022年第1期106-108,共3页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄91岁,身高156 cm,体重50 kg。于1 d前早饭后出现一过性意识丧失,呼之不应,20 min恢复意识,头晕、间断呕吐,头颅CT提示右侧小脑出血;入院当天上午再次呼之不应,浅昏迷状态。复查头颅CT提示小脑血肿较前增大,幕上脑室明显扩张,急诊以"小脑出血"收入院。

关 键 词：一过性意识丧失 小脑出血 浅昏迷状态 病史摘要 幕上脑 超高龄患者 围术期管理 小脑血肿 

分 类 号：R614[医药卫生—麻醉学]