扩张型心肌病合并慢性心肾功能不全老年患者经腹会阴联合直肠癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with dilated cardiomyopathy and chronic cardiorenal insufficiency undergoing abdominoperineal resection for rectal cancer

作　　者：曹福羊 王恒林[1] 陈宇[1] 姚胜[2] 尹春琳[3] 张爱华 朱涛[5] 王胜[6] 陈世彪[7] 王朝东[8] 薛张纲 王天龙[10] Cao Fuyang;Wang Henglin;Chen Yu;Yao Sheng;Yin Chunlin;Zhang Aihua;Zhu Tao;Wang Sheng;Chen Shibiao;Wang Chaodong;Xue Zhanggang;Wang Tianlong(Department of Anesthesia,Six Medical Center of PLA General Hospital,Beijing 100048,China;Department of General Surgery,Fourth Medical Center of PLA General Hospital,Beijing 100142,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Anesthesia&Operation Center,West China Hospital of Sichuan University,Chengdu 610041,China;Department of Anesthesiology,The First Affiliated Hospital of USTC,Hefei 230001,China;Department of Anesthesiology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,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]解放军总医院第六医学中心麻醉科,北京100048 [2]解放军总医院第四医学中心普外科,北京100142 [3]首都医科大学宣武医院心脏内科,北京100053 [4]首都医科大学宣武医院肾科,北京100053 [5]四川大学华西医院麻醉手术中心,成都610041 [6]中国科学技术大学附属第一医院麻醉科,合肥230001 [7]南昌大学第一附属医院麻醉科,南昌330006 [8]首都医科大学宣武医院神经内科,北京100053 [9]复旦大学附属中山医院麻醉科,上海200032 [10]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8期1017-1020,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者,男性,年龄67岁,身高185 cm,体质量96 kg。因"大便性状及排便习惯改变2个月,加重1个月"入院。患者于2个月前无明显诱因出现大便性状改变,排便次数增加,伴里急后重,偶见粘液脓血便,未予重视及诊治。1个月前因症状持续加重未见缓解,于当地医院行肠镜检查示:直肠隆起型肿物;活检病理示:直肠中高分化腺癌。

关 键 词：粘液脓血便 高分化腺癌 心肾功能不全 大便性状 排便次数 扩张型心肌病 围术期管理 隆起型 

分 类 号：R735.37[医药卫生—肿瘤] R614[医药卫生—临床医学]