合并哮喘患者椎管内占位手术的麻醉与围术期管理  

Anesthesia and perioperative management of a patient with asthma undergoing excision of intraspinal tumor

作　　者：黄珂 张婷[1] 王秀丽[2] 陈赞[3] 聂秀红[4] 李民[5] 申乐[6] 黄河 薛张纲 肖玮[1] 王天龙[1] Huang Ke;Zhang Ting;Wang Xiuli;Chen Zan;Nie Xiuhong;Li Min;Shen Le;Huang He;Xue Zhanggang;Xiao Wei;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Hebei Medical University Third Hospital,Shijiazhuang 050051,China;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Respiratory and Critical Care Medicine,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,China;Department of Anesthesiology,Peking Union Medical College Hospital,Beijng 100730,China;Department of Anesthesiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,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]河北医科大学第三医院麻醉科,石家庄050051 [3]首都医科大学宣武医院神经外科,北京100053 [4]首都医科大学宣武医院呼吸与危重症医学科,北京100053 [5]北京大学第三医院麻醉科,北京100191 [6]中国医学科学院北京协和医院麻醉科,北京100730 [7]重庆医科大学附属第二医院麻醉科,重庆400010 [8]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2期238-241,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者女性,年龄66岁,身高160 cm,体质量69 kg。因"腰痛伴右下肢无力1月,加重1周"入院。患者1个月前无明显诱因出现腰部疼痛,伴右下肢麻木无力,逐渐出现大小便困难。在当地医院行MR检查,诊断为"腰椎管内肿瘤",行保守治疗,效果不佳,近1周加重,为进一步治疗入住本院。患者自发病以来,神志清,精神差,二便如上所述,饮食正常,睡眠差,体质量无明显变化。

关 键 词：右下肢无力 腰部疼痛 椎管内占位 MR检查 围术期管理 保守治疗 

分 类 号：R614[医药卫生—麻醉学]