合并慢性肾衰竭老年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 chronic renal failure undergoing radical resection for sigmoid colon carcinoma

作　　者：李文静 张国娟[2] 安大立[3] 薛张纲 王东信[5] 王天龙[6] 陈世彪[7] 李茜[8] 王古岩 Li Wenjing;Zhang Guojuan;An Dali;Xue Zhanggang;Wang Dongxin;Wang Tianlong;Chen Shibiao;Li Qian;Wang Guyan(Department of Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100176,China;Department of Nephrology,Beijing Tongren Hospital,Capital Medical University,Beijing 100176,China;Department of General Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100176,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]首都医科大学附属北京同仁医院麻醉科,北京100176 [2]首都医科大学附属北京同仁医院肾内科,北京100176 [3]首都医科大学附属北京同仁医院普外科,北京100176 [4]复旦大学附属中山医院麻醉科,上海200032 [5]北京大学第一医院麻醉科,北京100034 [6]首都医科大学宣武医院麻醉手术科,北京100053 [7]南昌大学第一附属医院麻醉科,南昌330006 [8]四川大学华西医院麻醉科,成都610041

出　　处：《中华麻醉学杂志》2024年第6期746-749,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄68岁。主因发现结肠肿物12 d入院。患者2周前于外院行肠镜下息肉切除术,可见距离肛缘30 cm降结肠与乙状结肠交界处有一环腔2/3的肿物,管腔无明显狭窄,肿物中央腺管结构紊乱,触之易出血,质地稍糟脆。病理结果提示中分化腺癌。无排便习惯改变,无腹痛、腹胀、腹泻及便血,为进一步诊治入住本院。拟行腹腔镜下结肠癌根治术。

关 键 词：息肉切除术 围术期管理 周前 病理结果 慢性肾衰竭 老年患者 乙状结肠 肠镜 

分 类 号：R614[医药卫生—麻醉学]