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"双下肢水肿2年余,气促3个多月,加重20 d"入院。患者约2年前不明诱因出现双下肢水肿,约3个月前出现气促不伴端坐呼吸,于当地医院诊断为心脏瓣膜病,予以药物治疗后(具体不详)好转。约20 d前患者出现呼吸症状加重伴有夜间端坐呼吸,持续不能缓解,急诊入本院后予以强心利尿扩血管治疗后症状改善。超声心动图示:主动脉瓣狭窄(重度)反流(轻-中度)。拟在全身麻醉下行心尖入路经导管主动脉瓣植入术(TAVR)。(2)既往史:痛风2年余,主要累及双膝关节,平时口服药物治疗(具体不详),未规律用药。无手术史,无药物过敏史,无家族遗传病史。
作者
张义
罗雨婷
梁鹏
董海龙
嵇福海
王庚
李茜
郭应强
朱涛
马虹
薛张纲
王天龙
黄宇光
Zhang Yi;Luo Yuting;Liang Peng;Dong Hailong;Ji Fuhai;Wang Geng;Li Qian;Guo Yingqiang;Zhu Tao;Ma Hong;Xue Zhanggang;Wang Tianlong;Huang Yuguang(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology and Perioperative Medicine,Xijing Hospital,Affiliated Hospital of Air Force Medical University,Xi′an 710032,China;Department of Anesthesiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Cardiac Surgery,West China Hospital,Sichuan University,Chengdu 610041,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,Xuanwu Hospital,Capital Medical University,Beijing 100053,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10期1167-1170,共4页
Chinese Journal of Anesthesiology
