合并呼吸衰竭老年患者胸腔巨大肿瘤切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with respiratory failure undergoing giant thoracic tumor resection

作　　者：魏碧玉 刘涛[1] 刘伟[1] 刘树库[2] 刘洋[2] 王东信[3] 马靖[4] 王天龙[5] 尹春琳[6] 薛张纲 欧阳文[8] 李金宝[9] Wei Biyu;Liu Tao;Liu Wei;Liu Shuku;Liu Yang;Wang Dongxin;Ma Jing;Wang Tianlong;Yin Chunlin;Xue Zhanggang;Ouyang Wen;Li Jinbao(Department of Anesthesiology,Beijing Chest Hospital,Capital Medical University,Beijing 101100,China;Department of Thoracic Surgery,Beijing Chest Hospital,Capital Medical University,Beijing 101100,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100032,China;Department of Respiratory and Critical Care Medicine,Peking University First Hospital,Beijing 100032,China;Department of Anesthesiology and Operating Theater,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,Xiangya Third Hospital,Changsha 410013,China;Department of Anesthesiology,The First People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200080,China)

机构地区：[1]首都医科大学附属北京胸科医院麻醉科,北京101100 [2]首都医科大学附属北京胸科医院胸外科,北京101100 [3]北京大学第一医院麻醉科,北京100032 [4]北京大学第一医院呼吸与危重症医学科,北京100032 [5]首都医科大学宣武医院麻醉手术科,北京100053 [6]首都医科大学宣武医院心内科,北京100053 [7]复旦大学附属中山医院麻醉科,上海200032 [8]中南大学湘雅三医院麻醉科,长沙410013 [9]上海交通大学附属第一人民医院麻醉科,上海200080

出　　处：《中华麻醉学杂志》2022年第4期481-484,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67岁,身高166 cm,体重55 kg。因"呼吸困难1个月"入院。患者1年前出现气短症状,3个月前行左胸腔肿瘤氩氦刀靶向治疗,症状未见缓解,近1个月呼吸困难加重,不能平卧,24 h需无创呼吸机辅助呼吸,CT示左胸腔巨大占位,大小约16 cm×13 cm。

关 键 词：病史摘要 左胸腔 气短症状 呼吸困难 围术期管理 老年患者 合并呼吸衰竭 巨大肿瘤切除术 

分 类 号：R614[医药卫生—麻醉学] R730.56[医药卫生—外科学]