合并高血压老年患者行颈后路椎管扩大成形术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with hypertension undergoing posterior laminoplasty for cervical vertebral canal enlargement

作　　者：罗莹 程守全 孟庆涛[2] 韩非[3] 黄河 鲁世保[5] 卫华[6] 郭连瑞[7] 李洪 薛张纲 王天龙[10] Luo Ying;Cheng Shouquan;Meng Qingtao;Han Fei;Huang He;Lu Shibao;Wei Hua;Guo Lianrui;Li Hong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Hospital 964,Changchun 130062,China;Department of Anesthesiology,People′s Hospital of Wuhan University,Wuhan 430060,China;Department of Anesthesiology,The Third Affiliated Hospital of Harbin Medical University,Harbin 150081,China;Department of Anesthesiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Army Military Medical University Newbridge Hospital,Chongqing 400037,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]第九六四医院麻醉科,长春130062 [2]武汉大学人民医院麻醉科,武汉430060 [3]哈尔滨医科大学附属第三医院麻醉科,哈尔滨150081 [4]重庆医科大学附属第二医院麻醉科,重庆400010 [5]首都医科大学宣武医院骨科,北京100053 [6]首都医科大学宣武医院神经内科,北京100053 [7]首都医科大学宣武医院血管外科,北京100053 [8]陆军军医大学新桥医院麻醉科,重庆400037 [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

出　　处：《中华麻醉学杂志》2022年第9期1116-1119,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70岁,身高168 cm,体重85 kg。因"双下肢无力、疼痛"半年入院。患者半年前无明显诱因出现双下肢无力、疼痛,伴有明显行走困难、足底踏棉感。保守治疗效果不佳,颈椎MRI提示脊髓型颈椎病,拟行颈后路椎管扩大成形术。

关 键 词：脊髓型颈椎病 病史摘要 围术期管理 颈后路椎管扩大成形术 高血压老年患者 双下肢无力 疼痛 保守治疗 

分 类 号：R614[医药卫生—麻醉学]