合并房颤-心力衰竭-交感电风暴老年患者行股动脉切开取栓术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient with atrial fibrillation,heart failure and sympathetic electrical storm undergoing femoral artery thrombectomy

作　　者：吴林格尔 龚亚红[1] 高鹏 陈跃鑫[3] 何怀武 刘业成 于春华 王锷[6] 徐桂萍[7] 思永玉[8] 林钢[9] 王东信[10] 申乐 薛张纲 王天龙[12] Wu Lingeer;Gong Yahong;Gao Peng;Chen Yuexin;He Huaiwu;Liu Yecheng;Yu Chunhua;Wang E;Xu Guiping;Si Yongyu;Lin Gang;Wang Dongxin;Shen Le;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Cardiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Vascular Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Departement of Anesthesiology,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830001,China;Department of Anesthesiology,the Second Affiliated Hospital of Kunming Medical College,Kunming 650033,China;Department of Thoracic Surgery,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital Affiliated to Capital Medical University,Beijing 100053,China)

机构地区：[1]中国医学科学院北京协和医院麻醉科,北京100005 [2]中国医学科学院北京协和医院心内科,北京100005 [3]中国医学科学院北京协和医院血管外科,北京100005 [4]中国医学科学院北京协和医院重症医学科,北京100005 [5]中国医学科学院北京协和医院急诊科,北京100005 [6]中南大学湘雅医院麻醉科,长沙410008 [7]新疆维吾尔自治区人民医院麻醉科,乌鲁木齐830001 [8]昆明医学院第二附属医院麻醉科,昆明650033 [9]北京大学第一医院胸外科,北京100034 [10]北京大学第一院麻醉科,北京100034 [11]复旦大学附属中山医院麻醉科,上海200032 [12]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9期1131-1134,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄87岁,身高175 cm,体质量54 kg,主诉"右下肢疼痛数小时"。(2)现病史:患者在本院急诊住院期间突发右下肢剧烈疼痛。查体:右侧下肢皮温低,足背动脉、股动脉未触及,左侧皮温正常。双下肢动静脉超声提示:双下肢深静脉可显示部分,未见血栓;双下肢动脉粥样硬化伴多发斑块形成;右侧股浅动脉中下段、右侧窝及双侧胫前、胫后动脉血流显示不满意,重度狭窄或闭塞。

关 键 词：下肢动脉粥样硬化 下肢深静脉 胫后动脉 皮温 右侧下肢 足背动脉 老年患者 股浅动脉 

分 类 号：R614[医药卫生—麻醉学] R541.75[医药卫生—外科学]