合并扩张型心肌病和慢性心力衰竭的高龄患者行单孔胸腔镜右肺上叶切除术的麻醉与围术期管理  

Anaesthesia and perioperative management of an elderly patient with dilated cardiomyopathy and chronic heart failure undergoing single-port thoracoscopic right upper lobectomy

作　　者：谢丽萍[1] 王茂[2] 梅伟[2] 张霓[3] 林立[4] 王迎斌[5] 洪毅[6] 薛张纲 王天龙[8] Xie Liping;Wang Mao;Mei Wei;Zhang Ni;Lin Li;Wang Yingbin;Hong Yi;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,the First Affiliated Hospital of Shihezi University,Shihezi 832008,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Thoracic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Cardiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Departments of Anesthesiology,the Second Hospital Affiliated to Lanzhou University,Lanzhou 730030,China;Department of Anesthesiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,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]新疆石河子大学医学院第一附属医院麻醉科,石河子832008 [2]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [3]华中科技大学同济医学院附属同济医院胸外科,武汉430030 [4]华中科技大学同济医学院附属同济医院心内科,武汉430030 [5]兰州大学第二医院麻醉科,兰州730030 [6]新疆医科大学第一附属医院麻醉科,乌鲁木齐830011 [7]复旦大学附属中山医院麻醉科,上海200032 [8]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1139-1143,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄70岁,身高161 cm,体质量48 kg,BMI 18.5 kg/m^(2)。因"发现右肺占位1月余"入院。患者3年前间断出现胸闷,气喘不适,近半年加重。2022年6月22日于外院行胸部CT示"右上肺团片影,部分支气管闭塞,左下肺叶少许感染;心脏增大,动脉粥样硬化",为进一步诊治来本院就诊。肺癌肿瘤标志物:癌胚抗原32.56 ng/ml↑,细胞角蛋白片段194.35μg/L↑。门诊以"右肺占位性病变"收入胸部肿瘤科。患者自发病以来,精神、睡眠、食欲可,二便正常,近期体质量无明显下降。

关 键 词：心脏增大 右上肺 左下肺叶 肺占位性病变 扩张型心肌病 高龄患者 单孔胸腔镜 胸部CT 

分 类 号：R614[医药卫生—麻醉学] R542.2[医药卫生—外科学] R541.6[医药卫生—临床医学]