摘要
一、病例介绍1.病史摘要(1)一般情况:患者男性,年龄65岁,身高173 cm,体质量80 kg,BMI 26.7 kg/m2。患者于5月前出现头晕、视物不清伴右侧手臂乏力,休息后缓解;于当地医院行全主动脉CTA检查示:①胸主动脉及腹主动脉多发粥样硬化斑块;②腹主动脉远段及左侧骼总动脉动脉瘤,左侧髂总动脉附壁血栓形成;③头臂干、左颈总动脉及左锁骨下动脉起始部混合斑块伴管腔轻至中度狭窄;④腹腔干、肠系膜上动脉及右肾动脉起始部钙化斑块伴管腔轻度狭窄;⑤左肾动脉近段混合斑块伴管腔重度狭窄;⑥双侧髂内动脉近段见混合斑块伴管腔轻至中度狭窄;⑦双肾囊肿可能,胆囊结石。给予保守输液治疗(具体药物不详)后,为求进一步治疗转入我院,门诊以"腹主动脉瘤,未破裂;短暂性脑缺血发作"为诊断收入院。
作者
宋广东
杨建军
李震
李娟
郑晓春
赵磊
邢英琦
王天龙
薛张纲
Song Guangdong;Yang Jianjun;Li Zhen;Li Juan;Zheng Xiaochun;Zhao Lei;Xing Yingqi;Wang Tianlong;Xue Zhanggang(Department of Anesthesiology,Pain and Perioperative Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Vascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Anesthesiology,the First Affiliated Hospital,University of Science and Technology of China,Hefei 230001,China;Department of Anesthesiology,Fujian Provincial Hospital,Fuzhou 350001,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Captial Medical University,Beijing 100053,China;Department of Ultrasound,Xuanwu Hospital,Captial Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2024年第1期108-111,共4页
Chinese Journal of Anesthesiology
