合并重症肌无力老年患者胸腔镜纵隔肿物切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with myasthenia gravis undergoing thoracoscopic mediastinal tumor resection

作　　者：邸立超 康荣田[1] 张合林[2] 李洪 张良成[4] 嵇富海[5] 刘学胜[6] 曹铭辉[7] 尹春琳[8] 薛张纲 王天龙[10] Di Lichao;Kang Rongtian;Zhang Helin;Li Hong;Zhang Liangcheng;Ji Fuhai;Liu Xuesheng;Cao Minghui;Yin Chunlin;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Thoracic Surgery,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Anesthesiology,Xinqiao Hospital Affiliated to Army Medical University,Chongqing 400037,China;Department of Anesthesiology,Fujian Medical University Union Hospital,Fuzhou 350001,China;Department of Anesthesiology,The First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Anesthesiology,First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Anesthesiology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,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 and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]河北医科大学第二医院麻醉科,石家庄050000 [2]河北医科大学第二医院胸外科,石家庄050000 [3]陆军军医大学附属新桥医院麻醉科,重庆400037 [4]福建医科大学附属协和医院麻醉科,福州350001 [5]苏州大学附属第一医院麻醉科,苏州215006 [6]安徽医科大学第一附属医院麻醉科,合肥230022 [7]中山大学孙逸仙纪念医院麻醉科,广州510120 [8]首都医科大学宣武医院心内科,北京100053 [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》2023年第4期485-488,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,女性,年龄66岁,身高152 cm,体质量52 kg。因"自觉眼睑无力3个月,胸闷、气短伴吞咽困难2月余"入院。患者3个月前无明显诱因突发眼睑下垂,未予重视,2个月余前出现平卧位后胸闷、气短,伴进食困难,1个月前症状较前加重,伴呼吸困难,给予无创辅助通气,收入ICU治疗,胸部CT示胸腺肿物。

关 键 词：眼睑下垂 病史摘要 吞咽困难 胸腔镜 老年患者 纵隔肿物 重症肌无力 胸部CT 

分 类 号：R614[医药卫生—麻醉学]