冠状动脉旁路移植术老年患者切皮前严重过敏反应1例  

Severe anaphylaxis before cutaneous incision in an elderly patient undergoing coronary artery bypass grafting:a case report

作　　者：吕红 晏馥霞 陈世彪[2] 王晓斌 王锷[4] 宋江平 丰雷 薛张纲 王天龙[8] Lyu Hong;Yan Fuxia;Chen Shibiao;Wang Xiaobin;Wang E;Song Jiangping;Feng Lei;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Department of Anesthesiology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Anesthesiology,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Cardiac Surgery,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Department of Cardiac Medicine,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,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]中国医学科学院阜外医院麻醉科,北京100037 [2]南昌大学第一附属医院麻醉科,南昌330006 [3]西南医科大学附属医院麻醉科,泸州646000 [4]中南大学湘雅医院麻醉科,长沙410008 [5]中国医学科学院阜外医院心外科,北京100037 [6]中国医学科学院阜外医院心内科,北京100037 [7]复旦大学附属中山医院麻醉科,上海200032 [8]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》2023年第2期225-228,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77岁,身高167 cm,体质量74 kg,BMI 32.8 kg/m^(2)。因"活动后左肩痛22年,加重半年"入院。患者半月前因急性心肌梗死于当地医院急诊就医治疗,造影提示冠状动脉病变严重,建议外科治疗,为进一步治疗来本院就诊。(2)既往史:糖尿病史30余年,血糖控制不佳;自述有高血压且曾服用降压药,具体病史不详;有高脂血症史,未进行系统治疗。

关 键 词：急性心肌梗死 病史摘要 急诊就医 老年患者 严重过敏反应 血糖控制不佳 冠状动脉旁路移植术 冠状动脉病变 

分 类 号：R654.2[医药卫生—外科学]