超高龄患者腹腔镜胆管切开取石术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient undergoing laparoscopic choledocholithotomy

作　　者：刘淼[1] 吴洁[1] 贾怡童 樊珍 王月兰 徐桂萍[3] 孟庆涛[4] 王锷[5] 雷迁[6] 陆智杰[7] 尹春琳[8] 曹锋[9] 薛张纲 王天龙[1] Liu Miao;Wu Jie;Jia Yitong;Fan Zhen;Wang Yuelan;Xu Guiping;Meng Qingtao;Wang E;Lei Qian;Lu Zhijie;Yin Chunlin;Cao Feng;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Department of Anesthesiology,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830001,China;Department of Anesthesiology,People′s Hospital of Wuhan University,Wuhan 430060,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,Sichuan Provincial People′s Hospital,Chengdu 610072,China;Department of Anesthesiology,Shanghai Eastern Hepatobiliary Surgery Hospital,Shanghai 200438,China;Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,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]山东第一医科大学附属省立医院麻醉科,济南250021 [3]新疆维吾尔自治区人民医院麻醉科,乌鲁木齐830001 [4]武汉大学人民医院麻醉科,武汉430060 [5]中南大学湘雅医院麻醉手术部,长沙410008 [6]四川省人民医院麻醉科,成都610072 [7]上海东方肝胆外科医院麻醉科,上海200438 [8]首都医科大学宣武医院心内科,北京100053 [9]首都医科大学宣武医院普外科,北京100053 [10]复旦大学附属中山医院麻醉科,上海200032

出　　处：《中华麻醉学杂志》2023年第7期877-879,共3页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者女性,年龄90岁。主因"急性胆囊炎发作胆囊穿刺术后1个月"入院。患者于1个月前晚餐进食油腻后突发右上腹绞痛,伴恶心呕吐;6 h后突发寒战、高热,伴皮肤及巩膜黄染,急诊收治入院对症处理,腹部CT示胆总管结石、胆囊结石。入院后行胆囊穿刺术,每日肝下引流约200 ml,症状缓解。1个月后再次入院,拟行腹腔镜胆管切开取石术。

关 键 词：急性胆囊炎 巩膜黄染 对症处理 右上腹绞痛 腹部CT 围术期管理 胆囊结石 超高龄患者 

分 类 号：R614[医药卫生—麻醉学]