合并颅内血管狭窄超高龄患者急诊颈椎融合术的麻醉与围术期管理  

nesthesia and perioperative management of a super-elderly patient with intracranial vascular stenosis undergoing emergency cervical fusion surgery

作　　者：李博然 马武华[2] 王庚[3] 梅伟[4] 肖玮[1] 张爱华 尹春琳[6] 曹磊 段婉茹[8] 郭向阳[9] 薛张纲 王天龙[1] Li Boran;Ma Wuhua;Wang Geng;Mei Wei;Xiao Wei;Zhang Aihua;Yin Chunlin;Cao Lei;Duan Wanru;Guo Xiangyang;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,First Affiliated Hospital,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Rehabilitation,Xiongan District,Xuanwu Hospital,Capital Medical University,Xiong′an 071702,China;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,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]广州中医药大学第一附属医院麻醉科,广州510405 [3]北京积水潭医院麻醉科,北京100035 [4]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [5]首都医科大学宣武医院肾内科,北京100053 [6]首都医科大学宣武医院心内科,北京100053 [7]雄安宣武医院康复医学科,雄安071702 [8]首都医科大学宣武医院神经外科,北京100053 [9]北京大学第三医院麻醉科,北京100191 [10]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7期881-885,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄92岁,因"摔伤后四肢瘫1 d"入院。患者约1 d前因头晕摔倒后四肢瘫痪,昏迷史不详,无恶心、呕吐,医院急诊行颈椎CT检查:颈椎退行性改变,颈2-4椎间盘突出、颈4-7椎间盘膨出,椎管窄;颈2-6水平髓内异常信号并局部脊髓略增粗,为求进一步诊治转入本院,拟行颈椎融合术(后路法)+椎管减压术。

关 键 词：椎管减压术 椎间盘膨出 颈椎融合术 颈椎退行性改变 四肢瘫 昏迷史 椎间盘突出 围术期管理 

分 类 号：R614[医药卫生—麻醉学]