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合并颅内血管狭窄超高龄患者急诊颈椎融合术的麻醉与围术期管理

nesthesia and perioperative management of a super-elderly patient with intracranial vascular stenosis undergoing emergency cervical fusion surgery
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摘要 (1)一般情况:患者男性,年龄92岁,因"摔伤后四肢瘫1 d"入院。患者约1 d前因头晕摔倒后四肢瘫痪,昏迷史不详,无恶心、呕吐,医院急诊行颈椎CT检查:颈椎退行性改变,颈2-4椎间盘突出、颈4-7椎间盘膨出,椎管窄;颈2-6水平髓内异常信号并局部脊髓略增粗,为求进一步诊治转入本院,拟行颈椎融合术(后路法)+椎管减压术。
作者 李博然 马武华 王庚 梅伟 肖玮 张爱华 尹春琳 曹磊 段婉茹 郭向阳 薛张纲 王天龙 Li Boran;Ma Wuhua;Wang Geng;Mei Wei;Xiao Wei;Zhang Aihua;Yin Chunlin;Cao Lei;Duan Wanru;Guo Xiangyang;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,First Affiliated Hospital,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China;Department of Nephrology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Rehabilitation,Xiongan District,Xuanwu Hospital,Capital Medical University,Xiong′an 071702,China;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,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7期881-885,共5页 Chinese Journal of Anesthesiology
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