1例重度肺功能不全患者脊柱侧凸矫形术的围手术期麻醉管理  

Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency:a case report

作　　者：朱徐锐 郝静[2] 张伟[2] 董媛媛[2] 顾小萍[1] ZHU Xurui;HAO Jing;ZHANG Wei;DONG Yuanyuan;GU Xiaoping(Department of Anesthesiology,Drum Tower Clinical College of Medicine,Nanjing Medical University,Nanjing,Jiangsu 210008,China;不详)

机构地区：[1]南京医科大学鼓楼临床医学院,江苏南京210008 [2]南京大学医学院附属鼓楼医院麻醉科,江苏南京210008

出　　处：《中华全科医学》2025年第1期172-174,共3页Chinese Journal of General Practice

基　　金：国家自然科学基金项目(81730033,82171193)。

摘　　要：脊柱侧凸合并胸廓畸形患者往往肺功能受到严重损伤,给手术麻醉带来极高的风险,脊柱矫形手术后近期肺功能会进一步下降,因此,围手术期选择合适的手术麻醉策略对保护患者肺功能十分重要。本文报道1例脊柱侧凸术前伴有严重的混合性通气功能障碍患者围手术期的麻醉管理。Patients with combined thoracic deformities due to spinal scoliosis often suffer severe lung function impairment,posing a high risk for anesthesia during surgery.Shortly after spinal orthopaedic surgery,their lung function typically deteriorates further.Therefore,implementing appropriate perioperative anesthesia strategies to protect lung function is crucial.This article reports the anesthesia management during the perioperative period for a case of severe mixed ventilation dysfunction in a patient with preoperative thoracic scoliosis.

关 键 词：脊柱侧凸 肺功能 围手术期管理 麻醉 

分 类 号：R681.5[医药卫生—骨科学] R614.2[医药卫生—外科学]