合并Ⅲ度房室阻滞高龄患者食管癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient with Ⅲ degree atrioventricular block undergoing radical resection of esophageal carcinoma

作　　者：汪芸荟 张中军 王光锁 尹春琳[3] 姜虹[4] 李龙云[5] 韩冲芳 肖昭扬[7] 马正良[8] 王天龙[9] Wang Yunhui;Zhang Zhongjun;Wang Guangsuo;Yin Chunlin;Jiang Hong;Li Longyun;Han Chongfang;Xiao Zhaoyang;Ma Zhengliang;Wang Tianlong(Department of Anesthesiology,Shenzhen People′s Hospital,Shenzhen 518000,China;Department of Thoracic Surgery,Shenzhen People′s Hospital,Shenzhen 518000,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200000,China;Department of Anesthesiology,China-Japan Friendship Hospital,Jilin University,Changchun 130000,China;Department of Anesthesiology,Shanxi Bethune Hospital,Taiyuan 030000,China;Department of Anesthesiology,The Second Hospital of Dalian Medical University,Dalian 116000,China;Department of Anesthesiology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]深圳市人民医院麻醉科,深圳518000 [2]深圳市人民医院胸外科,深圳518000 [3]首都医科大学宣武医院心内科,北京100053 [4]上海交通大学医学院附属第九人民医院麻醉科,上海200000 [5]吉林大学中日联谊医院麻醉科,长春130000 [6]山西白求恩医院麻醉科,太原030000 [7]大连医科大学第二附属医院麻醉科,大连116000 [8]南京鼓楼医院麻醉科,南京210008 [9]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2期238-240,共3页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄88岁,身高160 cm,体重46 kg,BMI 17.97 kg/m^(2)。主因"进行性吞咽不适2月余,确诊食管鳞癌1月余"入院。2个月前患者无明显诱因出现吞咽不适,进食干硬食物时明显,可进食半流质食物,间伴胸前区烧灼样疼痛,疼痛以吞咽时为甚。1个月前患者吞咽困难症状加重,行胃镜检查,病理诊断为食管鳞状细胞癌。

关 键 词：烧灼样疼痛 半流质食物 吞咽困难 胸前区 食管鳞状细胞癌 高龄患者 胃镜检查 食管癌根治术 

分 类 号：R735.1[医药卫生—肿瘤] R614[医药卫生—临床医学]