合并冠心病老年患者胃癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient undergoing radical resection of gastric cancer

作　　者：段庆芳[1] 杨利利[1] 曹锋[2] 王东信[3] 李茜[4] 易斌 郭连瑞[6] 尹春琳[7] 罗虎 薛张纲 王天龙[1] Duan Qingfang;Yang Lili;Cao Feng;Wang Dongxin;Li Qian;Yi Bin;Guo Lianrui;Yin Chunlin;Luo Hu;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medial University,Beijing 100053,China;Department of General Surgery,Xuanwu Hospital,Capital Medial University,Beijing 100053,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology,The First Affiliated Hospital of Army Medicine University,Chongqing 400038,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medial University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medial University,Beijing 100053,China;Department of Respiratory Medicine,The First Affiliated Hospital of Army Medicine University,Chongqing 400038,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,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普外科,北京100053 [3]北京大学第一医院麻醉科,北京100034 [4]四川大学华西医院麻醉科,成都610041 [5]陆军军医大学第一附属医院麻醉科,重庆400038 [6]首都医科大学宣武医院血管外科,北京100053 [7]首都医科大学宣武医院心脏内科,北京100053 [8]陆军军医大学第一附属医院呼吸与危重症医学科,重庆400038 [9]复旦大学附属中山医院麻醉科,上海200032

出　　处：《中华麻醉学杂志》2024年第1期117-120,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72岁,身高173 cm,体质量50 kg。主因"腹痛、腹胀、呕吐2月余"入院。2月余前出现大便不畅,持续约10 d,后出现剧烈腹痛,性质为刀割样,就诊于外院,腹部CT提示腹主动脉瘤,不符合手术指征,未治疗,予钡灌肠后症状好转。25 d前剧烈呕吐黑色块状物,伴乏力、纳差,腹痛、腹胀,卧床无法行走。之后症状反复,晕厥后由120送至我院急诊,完善CT,考虑"胃癌"。患者自发病以来体重下降约10 kg。拟行腹腔镜下胃癌根治术。

关 键 词：剧烈腹痛 剧烈呕吐 病史摘要 胃癌根治术 钡灌肠 刀割样 腹部CT 腹主动脉瘤 

分 类 号：R614[医药卫生—麻醉学] R735.2[医药卫生—外科学]