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脆弱心脑功能老年患者腹腔镜下根治性近端胃切除联合Kamikawa吻合术的麻醉与围术期管理

Anesthesia and perioperative management of an elderly patient with fragile cardio-brain function undergoing laparoscopic radical proximal gastrectomy plus Kamikawa anastomosis
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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71岁。因"恶心1年余,确诊食管胃结合部恶性肿瘤1月余"入院。患者1年前无明显诱因出现恶心呕吐1次,呕吐为胃内容物,伴口干、进食哽噎感,呕吐后缓解。1个月前就诊我院消化内科门诊,胃镜检查提示:食管胃结合部腺癌(SiewertⅡ型),病理诊断:中-低分化腺癌。
作者 李文娟 王国平 肖玮 冯帅 王锷 贾慧群 魏珂 马武华 王晟 苏新良 李静 王朝东 薛张纲 王天龙 Li Wenjuan;Wang Guoping;Xiao Wei;Feng Shuai;Wang E;Jia Huiqun;Wei Ke;Ma Wuhua;Wang Sheng;Su Xinliang;Li Jing;Wang Chaodong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Changzhi People′s Hospital,Changzhi 046000,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Anesthesiology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510415,China;Department of Anesthesiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Endocrinology and Breast Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Geriatrics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital 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10期1253-1257,共5页 Chinese Journal of Anesthesiology
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