盆腔巨大肿瘤老年患者开腹探查术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with large pelvic tumor undergoing exploratory laparotomy

作　　者：陈贵珍 陈元敬 黄河 贾珍[2] 张爱华 王世军[4] 张艳[5] 王东信[6] 薛张纲 王天龙[8] Chen Guizhen;Chen Yuanjing;Huang He;Jia Zhen;Zhang Aihua;Wang Shijun;Zhang Yan;Wang Dongxin;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 401336,China;Department of Anesthesiology,Affiliated Hospital,Qinghai University,Xining 810001,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Obstetrics and Gynecology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,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]重庆医科大学附属第二医院麻醉科,重庆401336 [2]青海大学附属医院麻醉科,西宁810001 [3]首都医科大学宣武医院肾内科,北京100053 [4]首都医科大学宣武医院妇产科,北京100053 [5]首都医科大学宣武医院神经内科,北京100053 [6]北京大学第一医院麻醉科,北京100034 [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4期489-492,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77岁,身高155 cm,体质量55 kg,因"腹胀10余天"入院。患者10余天前无明显诱因出现腹胀不适,为阵发性隐痛,伴气促不适、食欲减退、恶心呕吐,多次就诊于外院,予以抗感染、补充白蛋白及灌肠等治疗(具体不详)。外院全腹部增强CT提示盆腹腔巨大占位,考虑畸胎瘤(偏恶性)。为进一步诊治入院。拟行开腹盆腔病灶切除术。

关 键 词：病史摘要 阵发性隐痛 老年患者 病灶切除术 食欲减退 开腹探查术 腹盆腔 围术期管理 

分 类 号：R737.3[医药卫生—肿瘤] R614[医药卫生—临床医学]