合并全心扩大高龄患者腹腔镜乙状结肠癌根治术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient with general heart enlargement undergoing laparoscopic surgery for sigmoid colon cancer

作　　者：谢红 张晓东 易斌 薛张纲 嵇富海[4] 李军[5] 曹锋[6] 李静[7] 王天龙[8] Xie Hong;Zhang Xiaodong;Yi Bin;Xue Zhanggang;Ji Fuhai;Li Jun;Cao Feng;Li Jing;Wang Tianlong(Department of Anesthesiology,Second Affiliated Hospital of Army Medical University,Chongqing 400037,China;Department of Anesthesiology,First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,First Affiliated Hospital of Suzhou University,Suzhou 215006,China;Department of Anesthesiology,Yuying Children′s Hospital,Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325088,China;Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Geriatrics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]陆军军医大学第二附属医院麻醉科,重庆400037 [2]陆军军医大学第一附属医院麻醉科,重庆400038 [3]复旦大学附属中山医院麻醉科,上海200032 [4]苏州大学附属第一医院麻醉科,苏州215006 [5]温州医科大学附属第二医院育英儿童医院麻醉科,温州325088 [6]首都医科大学宣武医院普通外科,北京100053 [7]首都医科大学宣武医院老年医学科,北京100053 [8]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8期1010-1014,共5页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况:患者男性,年龄82岁。因"大便习惯及性状改变2周"入院。患者2周前无明显诱因出现便血,大便次数增多,稀便或成形软便,大便无明显变细、变形,伴轻度肛门坠胀不适,里急后重感,无下腹部隐痛不适,发作无规律,可自行缓解或排便后缓解,前往涪陵人民医院就诊,行电子结肠镜检查示"乙状结肠癌",病理结果:乙状结肠癌,遂以"乙状结肠癌"收入本院。拟行腹腔镜下乙状结肠癌根治术。

关 键 词：乙状结肠癌 大便习惯 肛门坠胀 高龄患者 周前 病理结果 电子结肠镜检查 围术期管理 

分 类 号：R735.35[医药卫生—肿瘤] R614[医药卫生—临床医学]