合并胰腺神经内分泌肿瘤的低体质量老年患者腹腔镜胰体尾切除术的麻醉与围术期管理  

Anesthesia and perioperative management of a low-weight elderly patient with pancreatic neuroendocrine tumor undergoing laparoscopic pancreaticocaudectomy

作　　者：周玲[1] 王胜[1] 林先盛 郑茂 申乐 黄文起[5] 薛张纲 王天龙[7] Zhou Ling;Wang Sheng;Lin Xiansheng;Zheng Mao;Shen Le;Huang Wenqi;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,The First Affiliated Hospital of USTC,Hefei 230002,China;Department of General Surgery,The First Affiliated Hospital of USTC,Hefei 230002,China;Department of Endocrinology,The First Affiliated Hospital of USTC,Hefei 230002,China;Department of Anesthesiology,Peking Union Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Anesthesiology,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,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]中国科学技术大学附属第一医院麻醉科,合肥230002 [2]中国科学技术大学附属第一医院普外科,合肥230002 [3]中国科学技术大学附属第一医院内分泌科,合肥230002 [4]中国医学科学院北京协和医院麻醉科,北京100005 [5]中山大学附属第一医院麻醉科,广州510080 [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手术科,北京100053

出　　处：《中华麻醉学杂志》2024年第5期623-626,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,女性,年龄79岁,身高155 cm,体质量39 kg。因"反复发作意识障碍20余年,加重1年"入院。病初表现为睡眠时间延长,最长可连续睡眠24 h,不易唤醒,伴三餐前饥饿感增强、轻度头晕,进食后缓解,无心悸、手抖、视物模糊。发病以来,纳差,体质量持续减轻,未予重视。

关 键 词：轻度头晕 病史摘要 意识障碍 饥饿感 围术期管理 胰腺神经内分泌肿瘤 老年患者 低体质量 

分 类 号：R735.9[医药卫生—肿瘤] R614[医药卫生—临床医学]