合并复杂心脏疾病高龄患者乙状结肠癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with complex heart disease undergoing radical resection of sigmoid carcinoma

作　　者：孔萃萃[1] 刘清海[1] 申乐 王胜 尹春琳[4] 王朝东[5] 曹锋[6] 黄文起[7] 薛张纲 王天龙[1] Kong Cuicui;Liu Qinghai;Shen Le;Wang Sheng;Yin Chunlin;Wang Chaodong;Cao Feng;Huang Wenqi;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking Union Medical College Hospital,Beijing 100005,China;Department of Anesthesiology,Anhui Provincial Hospital,Hefei 230001,China;Department of Cardiology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of General Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Anesthesiology,Zhongshan Hospital of 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]中国医学科学院北京协和医院麻醉科,北京100005 [3]安徽省立医院麻醉科,合肥230001 [4]首都医科大学宣武医院心脏内科,北京100053 [5]首都医科大学宣武医院神经内科,北京100053 [6]首都医科大学宣武医院普通外科,北京100053 [7]中山大学附属第一医院麻醉科,广州510080 [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5期619-622,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91岁,身高167 cm,体质量60 kg。1个月前经皮冠状动脉介入治疗(PCI)及抗凝治疗1周后出现黑便,急诊电子肠镜检查示:结肠癌,进镜30 cm管腔明显狭窄,内镜无法通过,隆起表面污秽糜烂,质脆、易出血;3周前出现鲜血便、Hb浓度进行性下降,予凝血酶散及卡洛磺钠、输血治疗后,近期Hb浓度好转。为求进一步诊治,门诊以"结肠癌"收入普通外科。

关 键 词：病史摘要 围术期管理 周前 高龄患者 电子肠镜检查 输血治疗 结肠癌 心脏疾病 

分 类 号：R735.35[医药卫生—肿瘤] R614[医药卫生—临床医学]