合并左心室舒张功能障碍老年患者行盆底手术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with left ventricular diastolic dysfunction undergoing pelvic floor operation

作　　者：马满姣 申乐 陈娟[2] 杨立强[3] 王东信[4] 薛张纲 王海云[6] 张加强[7] 王天龙[8] Ma Manjiao;Shen Le;Chen Juan;Yang Liqiang;Wang Dongxin;Xue Zhanggang;Wang Haiyun;Zhang Jiaqiang;Wang Tianlong(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China;Department of Gynecology and Obstetrics,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China;Department of Pain Management,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,Tianjin Third Central Hospital,Tianjin 300170,China;Department of Anesthesiology and Perioperative Medicine,Henan Provincial People′s Hospital,Zhengzhou 463599,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、北京协和医学院、北京协和医院麻醉科,北京100730 [2]中国医学科学院、北京协和医学院、北京协和医院妇产科,北京100730 [3]首都医科大学宣武医院疼痛科,北京100053 [4]北京大学第一医院麻醉科,北京100034 [5]复旦大学附属中山医院麻醉科,上海200032 [6]天津市第三中心医院麻醉科,天津300170 [7]河南省人民医院麻醉与围术期医学科,郑州463599 [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6期751-754,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者,女性,年龄72岁,身高154 cm,体质量65 kg。因"阴道脱出肿物1年余"入院。患者1年余前发现阴道脱出肿物,约鸡蛋大小,平卧休息可还纳,当地医院予子宫托治疗效果不佳,自行停用。现走路后阴道有肿物脱出,平卧后不能完全还纳,咳嗽时漏尿、尿急,偶有排尿前少量漏尿,无尿频尿痛。

关 键 词：肿物脱出 平卧休息 漏尿 子宫托 阴道脱出 围术期管理 老年患者 左心室舒张功能障碍 

分 类 号：R614[医药卫生—麻醉学]