急性坏疽性阑尾炎伴感染性休克高龄患者急诊剖腹探查术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with acute gangrenous appendicitis and infectious shock undergoing emergency exploratory laparotomy

作　　者：侯瑞雪 张加强[2] 李军[3] 易斌 稽富海[5] 安友仲[6] 李静[7] 王朝东[8] 曹锋[9] 薛张纲 王天龙[1] Hou Ruixue;Zhang Jiaqiang;Li Jun;Yi Bin;Ji Fuhai;An Youzhong;Li Jing;Wang Chaodong;Cao Feng;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology and Perioperative Science,Henan Provincial People′s Hospital,Zhengzhou 463599,China;Department of Anesthesiology,The Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China;Department of Anesthesiology,The First Affiliated Hospital of the Army Medical University,Chongqing 671013,China;Department of Anesthesiology,The First Affiliated Hospital of Soochow University,Suzhou 365001,China;Department of Critical Care Medicine,The People′s Hospital of Peking University,Beijing 100034,China;Department of General Medicine,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,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]河南省人民医院麻醉与围术期医学科,郑州463599 [3]温州医科大学附属第二医院麻醉科,温州325027 [4]陆军军医大学第一附属医院麻醉科,重庆671013 [5]苏州大学附属第一医院麻醉科,苏州365001 [6]北京大学人民医院重症医学科,北京100034 [7]首都医科大学宣武医院综合科,北京100053 [8]首都医科大学宣武医院神经内科,北京100053 [9]首都医科大学宣武医院普外科,北京100053 [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8期1006-1009,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:老年男性,年龄75岁,身高170 cm,体质量80 kg。因"间断下腹痛伴进食困难7 d,加重18 h"入院。患者7 d前无明显诱因出现下腹部疼痛,程度可忍受,伴进食困难,无发热呕吐,无腹胀。6 d前就诊于本院急诊科,血常规:WBC计数12.95×109/L,中性粒细胞百分比85.3%,经头孢克洛治疗后未见症状缓解。18 h前患者症状显著加重,难以忍受,伴发热,体温最高达39℃,再次就诊于本院急诊科。拟行急诊剖腹探查术。

关 键 词：下腹部疼痛 急诊科 进食困难 急诊剖腹探查术 感染性休克 高龄患者 中性粒细胞百分比 老年男性 

分 类 号：R614[医药卫生—麻醉学]