合并冠心病三支病变老年患者行全髋关节置换术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with three lesions of coronary heart disease undergoing total hip replacement

作　　者：吴艳芳 王晋平 王永强 韩非[2] 鲁世保[3] 孟庆涛[4] 黄河 尹春琳[6] 郭连瑞[7] 薛张纲 李洪 王天龙[10] Wu Yanfang;Wang Jinping;Wang Yongqiang;Han Fei;Lu Shibao;Meng Qingtao;Huang He;Yin Chunlin;Guo Lianrui;Xue Zhanggang;Li Hong;Wang Tianlong(Department of Anesthesiology,People′s Hospital of Jincheng,Jincheng 048000,China;Department of Anesthesiology,The Third Affiliated Hospital of Harbin Medical University,Harbin 150040,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,People′s Hospital of Wuhan University,Wuhan 430061,China;Department of Anesthesiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan Unwersity,Shanghai 200032,China;Department of Anesthesiology,Xinqiao Hospital,Army Medical University,Chongqing 400037,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]晋城市人民医院麻醉科,晋城048000 [2]哈尔滨医科大学附属第三医院麻醉科,哈尔滨150040 [3]首都医科大学宣武医院骨科,北京100053 [4]武汉大学人民医院麻醉科,武汉430061 [5]重庆医科大学附属第二医院麻醉科,重庆400010 [6]首都医科大学宣武医院心脏内科,北京100053 [7]首都医科大学宣武医院血管外科,北京100053 [8]复旦大学附属中山医院麻醉科,上海200032 [9]陆军军医大学新桥医院麻醉科,重庆400037 [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1120-1123,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者,男性,年龄76岁,身高165 cm,体重65 kg。因"左膝关节周围疼痛10余天"入院。患者10 d前长时间跪地工作后出现左膝关节周围疼痛,活动时明显加重,伴双足肿胀,以左足为重,无双下肢无力、麻木、冰凉不适,喜屈髋、屈膝位,影响日常行走。就诊于当地医院,诊断为"左膝骨性关节炎",经治疗后症状无明显缓解。后就诊于本院疼痛门诊,以"左膝关节疼痛待诊"收入院。反复询问病史,追诉有摔倒史,左髋部疼痛剧烈,拒绝伸髋位,活动时疼痛明显加重,喜右侧卧位。骨盆及髋关节X线检查提示:左股骨颈骨折,双侧骶髂关节及双髋关节退行性改变。骨科会诊后完善术前准备,择期转骨科行手术治疗。

关 键 词：全髋关节置换术 膝骨性关节炎 疼痛门诊 老年患者 髋部疼痛 膝关节疼痛 双髋关节 足肿胀 

分 类 号：R614[医药卫生—麻醉学]