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高龄患者二尖瓣置换术后多节段椎体融合术麻醉与围术期管理 被引量:1

Anesthesia and perioperative management in elderly patients undergoing multisegmental interbody fusion after mitral valve replacement
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摘要 一、病例介绍1.病史摘要(1)一般情况:患者,老年女性,88岁。因"腰痛20余年,加重伴行走困难6个月"入院。患者腰部疼痛明显,活动受限,伴行走障碍,保守治疗效果不佳,拟行腰椎后路固定融合术(L3-S1)。(2)既往史:高血压病史30余年,平日规律服用氯沙坦钾片、苯磺酸氨氯地平片,血压控制佳;二尖瓣病史不详,2009年曾行二尖瓣置换术,平日口服华法林抗凝,术前5 d停药,应用低分子肝素进行桥接治疗至术前24 h,同时还服用地高辛和比索洛尔;房颤病史不详;有糖尿病病史,规律服用降糖药,血糖控制满意。
作者 冯帅 兰飞 赵磊 王东信 王锷 张宏 马虹 薛张纲 王天龙 黄宇光 Feng Shuai;Lan Fei;Zhao Lei;Wang Dongxin;Wang E;Zhang Hong;Ma Hong;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100032,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,the First Medical Center,PLA General Hospital,Beijing 100853,China;Department of Anesthesiology,the First Hospital of China Medical University,Shenyang 110001,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Peking Union Medical College Hospital Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2020年第7期779-782,共4页 Chinese Journal of Anesthesiology
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