阿尔茨海默病合并心肺功能不全高龄患者髋关节置换术的麻醉与围术期管理  

Anaesthesia and perioperative management of a super-elderly patient with Alzheimer′s disease complicated with cardiopulmonary insufficiency undergoing hip arthroplasty

作　　者：石林育 刘沁爽[1] 冯明利[2] 王朝东[3] 尹春琳[4] 聂秀红[5] 薛张纲 王天龙[7] Shi Linyu;Liu Qinshuang;Feng Mingli;Wang Chaodong;Yin Chunlin;Nie Xiuhong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,First Hospital of Qinhuangdao,Qinhuangdao 066000,China;Department of Orthopaedic Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiovascular Medicine,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,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]秦皇岛市第一医院麻醉科,秦皇岛066000 [2]首都医科大学宣武医院骨科,北京100053 [3]首都医科大学宣武医院神经内科,北京100053 [4]首都医科大学宣武医院心血管内科,北京100053 [5]首都医科大学宣武医院呼吸与危重症医学科,北京100053 [6]复旦大学附属中山医院麻醉科,上海200032 [7]首都医科大学宣武医院麻醉科,北京100053

出　　处：《中华麻醉学杂志》2024年第2期242-246,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄93岁,身高170 cm,体质量70 kg。因"摔倒致右髋关节疼痛、活动受限12 h"入院,伤时右髋部着地,伤后髋部疼痛、活动受限,无昏迷及呼吸困难,无明显胸腹部不适。当地医院骨盆X光检查示:右侧股骨颈骨折,为求进一步诊治转来我院。

关 键 词：髋关节置换术 心肺功能不全 髋关节疼痛 阿尔茨海默病 活动受限 髋部疼痛 高龄患者 呼吸困难 

分 类 号：R614[医药卫生—麻醉学]