合并多系统疾病老年患者腹腔镜胰十二指肠切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient undergoing laparoscopic pancreaticoduodenectomy complicated with multi-system diseases

作　　者：安欣璨 赵磊[1] 曹峰[2] 尹春琳[3] 薛张纲 陆智杰[5] 孟庆涛[6] 王锷[7] 徐桂萍[8] 王月兰 雷迁[10] 王天龙[1] An Xincan;Zhao Lei;Cao Feng;Yin Chunlin;Xue Zhanggang;Lu Zhijie;Meng Qingtao;Wang E;Xu Guiping;Wang Yuelan;Lei Qian;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,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,Shanghai Eastern Hepatobiliary Surgery Hospital,Shanghai 200438,China;Department of Anesthesiology,Renmin Hospital,Wuhan University,Wuhan 430060,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China;Department of Anesthesiology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Department of Anesthesiology,People′s Hospital of Sichuan Province,Chengdu 610072,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]首都医科大学宣武医院普通外科,北京100053 [3]首都医科大学宣武医院心内科,北京100053 [4]复旦大学附属中山医院麻醉科,上海200032 [5]上海东方肝胆外科医院麻醉科,上海200438 [6]武汉大学人民医院麻醉科,武汉430060 [7]中南大学湘雅医院麻醉手术部,长沙410008 [8]新疆维吾尔自治区人民医院麻醉科,乌鲁木齐830001 [9]山东第一医科大学附属省立医院麻醉科,济南250021 [10]四川省人民医院麻醉科,成都610072

出　　处：《中华麻醉学杂志》2023年第7期880-883,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄74岁,因"发热2周,检查发现胆管占位7 d"入院。患者2周前受凉后出现发热,体温最高39.3℃,伴咳嗽,少量咳痰,就诊于本院急诊科。腹部CT平扫+增强提示:胆总管下端占位伴肝内外胆管增宽,胆总管结石,少量腹腔积液。为求进一步治疗,收入普通外科。拟全身麻醉下行腹腔镜胰十二指肠切除术(LPD)。

关 键 词：胆总管下端 肝内外胆管 多系统疾病 急诊科 围术期管理 周前 老年患者 普通外科 

分 类 号：R614[医药卫生—麻醉学]