合并Ⅰ型呼吸衰竭老年患者颅底肿瘤切除术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with type Ⅰ respiratory failure undergoing skull base tumor resection

作　　者：苗芳芳[1] 肖玮[1] 马挺[1] 梁建涛[2] 聂秀红[3] 尹春琳[4] 张欢[5] 李洪 薛张纲 王天龙[1] Miao Fangfang;Xiao Wei;Ma Ting;Liang Jiantao;Nie Xiuhong;Yin Chunlin;Zhang Huan;Li Hong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Department of Neurosurgery,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Department of Respiratory and Critical Care Medicine,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China;Department of Anesthesiology,the Second Affiliated Hospital,the Army Military Medical University,Chongqing 400037,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神经外科,北京100053 [3]首都医科大学宣武医院呼吸与危重症医学科,北京100053 [4]首都医科大学宣武医院心内科,北京100053 [5]清华大学附属北京清华长庚医院麻醉科,北京102218 [6]陆军军医大学第二附属医院(新桥医院)麻醉科,重庆400037 [7]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4期488-491,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者女性,年龄78岁,身高160 cm,体质量50 kg。因"发现右侧听神经瘤5年,继发右侧三叉神经痛1年"入院。5年前因心肺疾病入院接受头部检查时发现右侧桥小脑角区占位,考虑听神经瘤,伴右侧听力减弱,平衡障碍;1年前无明显诱因出现右侧三叉神经痛,曾口服卡马西平和奥卡西平;1周前出现头晕伴恶心呕吐,曾因走路不稳出现摔倒。MRI检查示:右侧桥小脑角区占位,考虑听神经瘤可能性大,大小约23.6 mm×31.0 mm×23.0 mm,脑内多发腔隙性梗死及软化灶。为进一步诊治入院,拟行颅底肿瘤切除术。

关 键 词：三叉神经痛 听神经瘤 心肺疾病 奥卡西平 MRI检查 腔隙性梗死 老年患者 周前 

分 类 号：R614[医药卫生—麻醉学] R739.4[医药卫生—外科学]