合并扩张型心肌病老年患者行腹腔镜直肠癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with concomitant dilated cardiomy-opathy undergoing laparoscopic radical resection of rectal cancer

作　　者：孟宁 李玉兰[1] 刘亚涛[1] 薛张纲 王月兰 嵇富海[4] 刘学胜[5] 章放香 王晓斌 尹春琳[8] 陈生龙[9] 贺志云 王天龙[11] Meng Ning;Li Yulan;Liu Yatao;Xue Zhanggang;Wang Yuelan;Ji Fuhai;Liu Xuesheng;Zhang Fangxiang;Wang Xiaobin;Yin Chunlin;Chen Shenglong;He Zhiyun;Wang Tianlong(Department of Anesthesiology and Surgery,First Hospital of Lanzhou University,Lanzhou 730013,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Perioperative Medicine,First Affiliated Hospital of Shandong First Medical University,Jinan 250014,China;Department of Anesthesiology and Surgery,First Affiliated Hospital of Suzhou University,Suzhou 215006,China;Department of Anesthesiology,First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Anesthesiology,Guizhou Provincial People′s Hospi-tal Affiliated to Guizhou University School of Medicine,Guiyang 550002,China;Department of Anesthesiol-ogy,Affiliated Hospital of Southwest Medical University,Luzhou 646099,China;Department of Cardiolo-gy,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Peo-ple′s Hospital of Peking University,Beijing 100044,China;Department of General Surgery,First Hospital of Lanzhou University,Lanzhou 730013,China;Department of Anesthesiology and Operating Theater,Xu-anwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]兰州大学第一医院麻醉手术科,兰州730013 [2]复旦大学附属中山医院麻醉科,上海200032 [3]山东第一医科大学第一附属医院麻醉与围术期医学科,济南250014 [4]苏州大学附属第一医院麻醉手术科,苏州215006 [5]安徽医科大学第一附属医院麻醉科,合肥230022 [6]贵州大学医学院附属贵州省人民医院麻醉科,贵阳550002 [7]西南医科大学附属医院麻醉科,泸州646099 [8]首都医科大学宣武医院心脏内科,北京100053 [9]北京大学人民医院心脏外科,北京100044 [10]兰州大学第一医院普外科,兰州730013 [11]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10期1248-1251,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者男性,年龄67岁。因“大便习惯改变7月余,间断性便血2月”入院。患者于入院前7月余出现大便习惯、性状改变,伴排便困难;无腹痛、腹胀,无恶心、呕吐,无心慌气短、黑朦,无胸痛症状。1月前外院肠镜检查提示:直肠新生物(距肛缘10 cm),活检提示中分化腺癌。1周前上述症状加重,遂收住兰州大学第一医院。拟行腹腔镜直肠癌根治术+回肠造口术。

关 键 词：大便习惯 腹腔镜直肠癌根治术 病史摘要 回肠造口术 扩张型心肌病 胸痛症状 周前 肠镜检查 

分 类 号：R614[医药卫生—麻醉学] R542.2[医药卫生—外科学] R735.37[医药卫生—临床医学]