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合并房颤老年患者后腹腔镜右肾部分切除术的麻醉与围术期管理

Anesthesia and perioperative management of an elderly patient with atrial fibrillation undergoing retroperitoneoscopic right partial nephrectomy
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摘要 一、病例介绍1.病史摘要(1)一般情况:患者男性,年龄76岁。因"10 d前体检时腹部超声发现右肾占位"就诊。无发热、腰痛,无血尿,无尿频、尿急、尿痛。行腹部增强CT示:右肾上级囊实性小结节,考虑肾癌。拟行后腹腔镜右肾部分切除术。(2)既往史:高血压病史10年,最高BP 180/100 mmHg(1 mmHg=0.133 kPa),目前口服厄贝沙坦、氨氯地平,控制在130/80 mmHg;冠心病、房颤病史3年,口服美托洛尔、华法林治疗,平素无胸闷、胸痛等.
作者 谯瞧 王强 嵇富海 范晋海 卢群 郭辉 徐军美 张爱华 薛张纲 王天龙 黄宇光 Qiao Qiao;Wang Qiang;Ji Fuhai;Fan Jinhai;Lu Qun;Guo Hui;Xu Junmei;Zhang Aihua;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Anesthesiology,The First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Urinary Surgery,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Cardiology,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Endocrinology,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Anesthesiology,Second Xiangya Hospital of Central South Universit,Changsha 410011,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2021年第11期1294-1297,共4页 Chinese Journal of Anesthesiology
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