合并心脑血管疾病的老年患者行后腹腔镜右肾上腺肿瘤切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with cardiovascular and cerebrovascular diseases undergoing retrolaparoscopic right adrenal tumor resection

作　　者：魏雯 肖颖[1] 王强[1] 吴大鹏[2] 思永玉[3] 柴燕玲[4] 尹春琳[5] 黄宇光[6] 王天龙[7] 薛张纲 Wei Wen;Xiao Ying;Wang Qiang;Wu Dapeng;Si Yongyu;Chai Yanling;Yin Chunlin;Huang Yuguang;Wang Tianlong;Xue Zhanggang(Department of Anesthesiology,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Urology,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Anesthesiology,The Second Affiliated Hospital of Kunming Medical University,Kunming 650106,China;Department of Respiratory,The Second Affiliated Hospital of Kunming Medical University,Kunming 650106,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]西安交通大学第一附属医院麻醉科,西安710061 [2]西安交通大学第一附属医院泌尿外科,西安710061 [3]昆明医科大学第二附属医院麻醉科,昆明650106 [4]昆明医科大学第二附属医院呼吸内科,昆明650106 [5]首都医科大学宣武医院心内科,北京100053 [6]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 [7]首都医科大学宣武医院手术麻醉科,北京100053 [8]复旦大学附属中山医院麻醉科,上海200032

出　　处：《中华麻醉学杂志》2022年第5期616-620,共5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76岁,因"发现高血压7年,右侧肾上腺肿物半月"入院。患者半月前无明显诱因出现头晕不适,间歇发作,休息可缓解,当地医院肾上腺CT检查提示右肾上腺占位,为进一步治疗入住本院。拟行后腹腔镜右肾上腺肿瘤切除术。(2)既往史:高血压病史7年,长期口服依那普利,血压控制不详:脑梗死病史5年。

关 键 词：后腹腔镜 肾上腺肿瘤切除术 间歇发作 病史摘要 老年患者 围术期管理 肾上腺占位 依那普利 

分 类 号：R614[医药卫生—麻醉学] R736.6[医药卫生—外科学]