合并冠心病老年患者贲门癌切除术的麻醉与围手术期管理  

Anesthesia and perioperative management of an elderly patient with coronary heart disease undergoing resection of gastric cardia cancer

作　　者：刘乾 肖玮[1] 尹春琳[2] 王若天[3] 翟惠虹 马武华[5] 戴茹萍[6] 李萌萌[7] 王恒林[8] 邓元 李军[9] 薛张纲 王天龙[1] Liu Qian;Xiao Wei;Yin Chunlin;Wang Ruotian;Zhai Huihong;Ma Wuhua;Dai Ruping;Li Mengmeng;Wang Henglin;Deng Yuan;Li Jun;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theatre,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Thoracic Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Gastroenterology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Anesthesiology,The Second Xiangya Hospital of Central South University,Changsha 4100ll,China;Department of Anesthesiology,The Fourth Medical Center of Chinese PLA General Hospital,Beijing 100048,China;Department of Anesthesiology,The Sixth Medical Center of Chinese PLA General Hospital,Beijing 100048,China;Department of Anesthesiology,The Second Affiliated Hospital of Wenzhou Medical University Yuying Children's Hospital,Wenzhou 325000,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]首都医科大学宣武医院心脏内科,北京100053 [3]首都医科大学宣武医院胸外科,北京100053 [4]首都医科大学宣武医院消化内科,北京100053 [5]广州中医药大学附属第一医院,广州510405 [6]中南大学湘雅二医院麻醉科,长沙410011 [7]解放军总医院第四医学中心麻醉科,北京100048 [8]解放军总医院第六医学中心麻醉科,北京100048 [9]温州医科大学附属第二医院育英儿童医院麻醉科,温州325000 [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》2025年第3期373-376,共4页Chinese Journal of Anesthesiology

摘　　要：(1)一般情况 患者男性,年龄72岁,身高175 cm,体质量72 kg。主因"进食哽噎、呕吐伴呃逆5个月"入院。患者因进食哽噎、呕吐、呃逆就诊于外院,经胃镜检查诊断为"胃癌",肿瘤位于胃底贲门处,影像学检查提示多发淋巴结转移,行化疗。哽噎症状无改善,上消化道造影示食管下段、贲门及部分胃体形态僵硬,为进一步治疗就诊于本院胸外科。

关 键 词：围手术期管理 老年患者 冠心病 贲门癌切除术 

分 类 号：R614[医药卫生—麻醉学]