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合并复杂心脏疾病高龄患者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 complex heart disease undergoing radical resection of sigmoid carcinoma
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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91岁,身高167 cm,体质量60 kg。1个月前经皮冠状动脉介入治疗(PCI)及抗凝治疗1周后出现黑便,急诊电子肠镜检查示:结肠癌,进镜30 cm管腔明显狭窄,内镜无法通过,隆起表面污秽糜烂,质脆、易出血;3周前出现鲜血便、Hb浓度进行性下降,予凝血酶散及卡洛磺钠、输血治疗后,近期Hb浓度好转。为求进一步诊治,门诊以"结肠癌"收入普通外科。
作者 孔萃萃 刘清海 申乐 王胜 尹春琳 王朝东 曹锋 黄文起 薛张纲 王天龙 Kong Cuicui;Liu Qinghai;Shen Le;Wang Sheng;Yin Chunlin;Wang Chaodong;Cao Feng;Huang Wenqi;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking Union Medical College Hospital,Beijing 100005,China;Department of Anesthesiology,Anhui Provincial Hospital,Hefei 230001,China;Department of Cardiology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of General Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;Department of Anesthesiology,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Anesthesiology,Zhongshan Hospital of Fudan University,Shanghai 200032,China)
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2024年第5期619-622,共4页 Chinese Journal of Anesthesiology
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