合并脆弱心脑功能的高龄患者动脉探查术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with fragile cardio-cerebral function undergoing arterial exploration

作　　者：魏晶晶[1] 王天龙[1] 肖玮[1] 尹春琳[2] 冯明利[3] 郭连瑞[4] 苏力[5] 薛张纲 王锷[7] 刁玉刚 李民[9] 梅伟[10] 张玮玮[11] Wei Jingjing;Wang Tianlong;Xiao Wei;Yin Chunlin;Feng Mingli;Guo Lianrui;Su Li;Xue Zhanggang;Wang E;Diao Yugang;Li Min;Mei Wei;Zhang Weiwei(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Hematology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Anesthesiology,Shanxi Provincial People′s Hospital,Taiyuan 030012,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心脏内科,北京100053 [3]首都医科大学宣武医院骨科,北京100053 [4]首都医科大学宣武医院血管外科,北京100053 [5]首都医科大学宣武医院血液科,北京100053 [6]复旦大学附属中山医院麻醉科,上海200032 [7]中南大学湘雅医院麻醉科,长沙410008 [8]北部战区总医院麻醉科,沈阳110016 [9]北京大学第三医院麻醉科,北京100191 [10]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [11]山西省人民医院麻醉科,太原030012

出　　处：《中华麻醉学杂志》2023年第12期1520-1522,共3页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者,男性,年龄74岁。因"左腋-右腋动脉搭桥术后10年,伤口感染5 d"入院。患者10年前因双侧锁骨下动脉狭窄,左椎动脉狭窄在本院行左腋-右腋动脉搭桥术,左椎动脉支架置入术,术后症状明显缓解;5年前双上肢无力再次加重,超声提示:左腋-右腋动脉桥血管闭塞,双锁骨下动脉狭窄(右侧近端重度,左侧远端重度),右锁骨下动脉盗血(部分型),双侧颈动脉球部狭窄(右侧重度,左侧轻度),再次于本院行锁骨下动脉支架置入术/双侧+右颈动脉支架置入术,术后恢复良好。现以人工血管可疑感染,为求进一步诊治入院。

关 键 词：锁骨下动脉 血管闭塞 双侧颈动脉 腋动脉 术后症状 椎动脉狭窄 支架置入术 高龄患者 

分 类 号：R614[医药卫生—麻醉学]