脆弱心脑功能老年患者腹腔镜下根治性近端胃切除联合Kamikawa吻合术的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with fragile cardio-brain function undergoing laparoscopic radical proximal gastrectomy plus Kamikawa anastomosis

作　　者：李文娟 王国平 肖玮[2] 冯帅[2] 王锷[3] 贾慧群[4] 魏珂[5] 马武华[6] 王晟 苏新良[8] 李静[9] 王朝东[10] 薛张纲 王天龙[2] Li Wenjuan;Wang Guoping;Xiao Wei;Feng Shuai;Wang E;Jia Huiqun;Wei Ke;Ma Wuhua;Wang Sheng;Su Xinliang;Li Jing;Wang Chaodong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Changzhi People′s Hospital,Changzhi 046000,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Anesthesiology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510415,China;Department of Anesthesiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Endocrinology and Breast Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Geriatrics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]长治市人民医院麻醉科,长治046000 [2]首都医科大学宣武医院麻醉手术科,北京100053 [3]中南大学湘雅医院麻醉科,长沙410008 [4]河北医科大学第四医院麻醉科,石家庄050011 [5]重庆医科大学附属第一医院麻醉科,重庆400016 [6]广州中医药大学第一附属医院麻醉科,广州510415 [7]首都医科大学附属北京安贞医院麻醉科,北京100029 [8]重庆医科大学附属第一医院内分泌乳腺外科,重庆400016 [9]首都医科大学宣武医院老年医学科,北京100053 [10]首都医科大学宣武医院神经内科,北京100053 [11]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10期1253-1257,共5页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者男性,年龄71岁。因"恶心1年余,确诊食管胃结合部恶性肿瘤1月余"入院。患者1年前无明显诱因出现恶心呕吐1次,呕吐为胃内容物,伴口干、进食哽噎感,呕吐后缓解。1个月前就诊我院消化内科门诊,胃镜检查提示:食管胃结合部腺癌(SiewertⅡ型),病理诊断:中-低分化腺癌。

关 键 词：食管胃结合部腺癌 低分化腺癌 病史摘要 近端胃切除 围术期管理 老年患者 胃镜检查 胃内容物 

分 类 号：R614[医药卫生—麻醉学]