合并肺动脉高压老年患者腰椎融合术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with pulmonary hypertension undergoing lumbar fusion

作　　者：赵萌 阚敏慧[1] 姜虹[2] 刘敬臣[3] 张孟元[4] 李恩有[5] 张蓬勃[6] 鲁世保[7] 尹春琳[8] 薛张纲 王天龙[1] 黄宇光[10] Zhao Meng;Kan Minhui;Jiang Hong;Liu Jingchen;Zhang Mengyuan;Li Enyou;Zhang Pengbo;Lu Shibao;Yin Chunlin;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Anesthesiology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Anesthesiology,Shandong Provincial Hospital,Jinan 250021,China;Department of Anesthesiology,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Department of Anesthesiology,The Second Affiliated Hospital of Xi′an Jiao Tong Medical University,Xi′an 710004,China;Department of Traumatology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,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]上海交通大学医学院附属第九人民医院麻醉科,上海200011 [3]广西医科大学第一附属医院麻醉科,南宁530021 [4]山东省立医院麻醉科,济南250021 [5]哈尔滨医科大学附属第一医院麻醉科,哈尔滨150001 [6]西安交通大学第二附属医院麻醉科,西安710004 [7]首都医科大学宣武医院骨科,北京100053 [8]首都医科大学宣武医院心血管内科,北京100053 [9]复旦大学附属中山医院麻醉科,上海200032 [10]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730

出　　处：《中华麻醉学杂志》2022年第2期235-237,共3页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄73岁,体重55 kg,身高168 cm,BMI 19.5 kg/m^(2)。因"腰痛11年,腿痛5月,加重2月余"入院。患者11年前无诱因出现腰部疼痛未重视;5个月前双下肢放射性疼痛,左侧为重,有间歇性跛行,2个月前上述症状加重,为求进一步治疗收入院。患者自发病以来,神志清楚,精神可,二便正常,近期无体重明显下降。

关 键 词：放射性疼痛 腰部疼痛 间歇性跛行 老年患者 腿痛 腰椎融合术 肺动脉高压 围术期管理 

分 类 号：R614[医药卫生—麻醉学]