合并脆弱脑功能及急性下肢深静脉血栓高龄患者巨大盆腔肿物切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with fragile brain function and acute lower extremity deep vein thrombosis undergoing giant pelvic mass resection

作　　者：孔萃萃[1] 赵磊[1] 倪新莉[2] 余剑波 阎文军[4] 李治松 陈新忠[6] 翟惠虹 张毅[8] 王世军[9] 郭连瑞[10] 卫华[11] 马虹[12] 薛张纲 王天龙[1] Kong Cuicui;Zhao Lei;Ni Xinli;Yu Jianbo;Yan Wenjun;Li Zhisong;Chen Xinzhong;Zhai Huihong;Zhang Yi;Wang Shijun;Guo Lianrui;Wei Hua;Ma Hong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,General Hospital of Ningxia Medical University,Yinchuan 750003,China;Department of Anesthesiology,Tianjin Hospital of ITCWM Nankai Hospital,Tianjin 300102,China;Department of Anesthesiology,Gansu Provincial Hospital,Lanzhou 730099,China;Department of Anesthesiology,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Anesthesiology,Women′s Hospital School of Medicine Zhejiang University,Hangzhou 310003,China;Department of Gastroenterology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Thoracic Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Obstetrics and Gynecology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,The First Hospital of China Medical University,Shenyang 110001,China;Department of Anesthesiology,Zhongshan Hospital of Fudan University,Shanghai 200032,China)

机构地区：[1]首都医科大学宣武医院麻醉手术科,北京100053 [2]宁夏医科大学总医院麻醉科,银川750003 [3]天津市中西医结合医院南开医院麻醉科,天津300102 [4]甘肃省人民医院麻醉科,兰州730099 [5]郑州大学第二附属医院麻醉科,郑州450014 [6]浙江大学医学院附属妇产科医院麻醉科,杭州310003 [7]首都医科大学宣武医院消化内科,北京10005 [8]首都医科大学宣武医院胸外科,北京100053 [9]首都医科大学宣武医院妇产科,北京100053 [10]首都医科大学宣武医院血管外科,北京100053 [11]首都医科大学宣武医院神经内科,北京100053 [12]中国医科大学第一医院麻醉科,沈阳110001 [13]复旦大学附属中山医院麻醉科,北京100053

出　　处：《中华麻醉学杂志》2023年第6期755-758,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者女性,年龄79岁,身高156 cm,体质量70 kg,半年前因尿频行B超检查发现盆腔内直径约8 cm肿物,未予重视;20 d前无明显诱因突发腹痛,B超示脐周腹部无回声巨大占位,急诊对症治疗后建议手术;4 d前出现纳差、排气排便停止。急诊以"盆腔肿物、不完全性小肠梗阻"收入妇科。

关 键 词：盆腔肿物 高龄患者 围术期管理 脐周 B超检查 急性下肢深静脉血栓 对症治疗 脆弱脑功能 

分 类 号：R614[医药卫生—麻醉学]