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合并冠心病老年患者行腹腔镜下乙状结肠癌根治术的麻醉与围术期管理

Anesthesia and perioperative management of an elderly patient with coronary heart disease undergoing laparoscopic surgery for sigmoid colon cancer
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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79岁,身高170 cm,体质量70 kg。因3个月前出现便血,量少色暗红,就诊于当地医院,行胃肠镜检查。胃镜结果示:胃窦占位,胃角占位;病理结果示:高级别上皮内瘤变。肠镜结果示:乙状结肠占位;病理结果示:腺癌。为进一步诊治就诊于本院。(2)既往史:高血压病病史20余年,口服氨氯地平5 mg 1次/d,血压控制尚可;冠心病病史10余年,7年前行冠状动脉支架植入术,术后口服氯吡格雷75 mg 1次/d。无糖尿病病史,无吸烟饮酒史,无药物、食物过敏史。
作者 白宇光 解雅英 丰雷 王晓斌 王锷 陈世彪 晏馥霞 王天龙 Bai Yuguang;Xie Yaying;Feng Lei;Wang Xiaobin;Wang E;Chen Shibiao;Yan Fuxia;Wang Tianlong(Department of Anesthesiology,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010000,China;Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100053,China;Department of Anesthesiology,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Department of Anesthesiology,Xiangya Medical College,Central South University,Changsha 410008,China;Department of Anesthesiology,the First Affiliated Hospital of Nanchang University,Nancang 330000,China;Department of Anesthesiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2023年第2期229-232,共4页 Chinese Journal of Anesthesiology
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