合并心脑血管病老年患者行人工股骨头置换术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with cardiovascular and cerebrovascular diseases undergoing artificial femoral head replacement

作　　者：侯州慧 李悦[1] 刘环秋[1] 戚思华[2] 赵平[3] 杨瑞[4] 麻海春[1] 朱东[5] 张永庆[6] 尹春琳[7] 卫华[8] 薛张纲 王天龙[10] 黄宇光[11] Hou Zhouhui;Li Yue;Liu Huanqiu;Qi Sihua;Zhao Ping;Yang Rui;Ma Haichun;Zhu Dong;Zhang Yongqing;Yin Chunlin;Wei Hua;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,the First Hospital of Jilin University,Changchun 130000,China;Department of Anesthesiology,the Forth Hospital of Harbin University,Harbin 150001,China;Department of Anesthesiology,Shengjing Hospital of China Medical University,Shenyang 110000,China;Department of Anesthesiology,Shanxi Province People′s Hospital,Xi′an 710068,China;Department of Orthopedics,the First Hospital of Jilin University,Changchun 130000,China;Department of Respiratory and Critical Care,Shanxi Province People′s Hospital,Xi′an 710068,China;Department of Cardiology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital of FuDan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Departent of Ansthesiology,Peking Union Me-dical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]吉林大学第一医院麻醉科,长春130000 [2]哈尔滨医科大学附属第四医院麻醉科,哈尔滨150001 [3]中国医科大学附属盛京医院麻醉科,沈阳110000 [4]陕西省人民医院麻醉科,西安710068 [5]吉林大学第一医院创伤骨科,长春130000 [6]陕西省人民医院呼吸与重症一科,西安710068 [7]首都医科大学宣武医院心脏科,北京100053 [8]首都医科大学宣武医院神经内科,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 [11]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3期369-372,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄75岁,身高156 cm,体重50 kg。因摔倒后右髋部活动受限入院。患者3 d前不慎摔倒,致右髋部着地,当时感右髋部疼痛伴活动受限,于当地医院行X线检查提示右侧股骨颈骨折,无头痛、头晕、面色苍白,无乏力,晕厥。患者自发病以来,饮食、睡眠欠佳,精神尚可,体重无明显变化。

关 键 词：面色苍白 病史摘要 活动受限 髋部疼痛 老年患者 人工股骨头置换术 围术期管理 晕厥 

分 类 号：R614[医药卫生—麻醉学]