合并肾功能不全伴高钾血症高龄患者斜外侧入路腰椎椎体融合术的麻醉与围术期管理  

Anesthesia and perioperative management of an advanced aged patient with renal insufficiency and hyperkalemia undergoing oblique lateral lumbar interbody fusion

作　　者：常慧 姚东旭[1] 马武华[2] 王庚[3] 梅伟[4] 肖玮[1] 张爱华 尹春琳[1] 曹磊 段婉茹[1] 郭向阳[6] 薛张纲 王天龙[1] Chang Hui;Yao Dongxu;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 Rehabilitation,Xiongan District,Xuanwu Hospital,Capital Medical University,Xiong′an 071702,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]雄安宣武医院康复医学科,雄安071702 [6]北京大学第三医院麻醉科,北京100191 [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7期886-890,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者女性,年龄88岁,因"双下肢疼痛2个月,加重伴腰部疼痛1个月"入院。患者2个月前无明显诱因出现双下肢疼痛,程度轻微,疼痛于行走时出现,休息后可缓解,范围为双侧大腿,自行口服镇痛药物治疗,症状有改善。1个月前,患者自觉上述症状加重,伴双下肢无力,腰部疼痛。自行口服药物疼痛改善不明显。为求进一步诊治,来我院门诊就诊。门诊以腰椎管狭窄收治入院。拟行斜外侧入路腰椎椎体间融合术(L4,5)、椎间盘切除术和脊神经根粘连松解术。

关 键 词：双下肢疼痛 腰部疼痛 腰椎管狭窄 椎间盘切除术 高钾血症 脊神经根 外侧入路 粘连松解术 

分 类 号：R614[医药卫生—麻醉学]