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射血分数低的扩张型心肌病患者直肠癌腹腔镜手术的麻醉管理:一例报告

Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report.

作者信息

Wu Yao-Hua, Hu Liang, Xia Jin, Hao Quan-Shui, Feng Li, Xiang Hong-Bing

机构信息

Department of Anesthesiology, Huanggan Central Hospital Huanggang 438000, Hubei, PR China.

Department of Anesthesiology and Pain Medicine, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, Hubei, PR China.

出版信息

Int J Clin Exp Med. 2015 Jun 15;8(6):9555-9. eCollection 2015.

Abstract

A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status and hemodynamic play important role in the high risk patient under general anesthesia with endotracheal intubation and mechanical ventilation.

摘要

据报道,一名患有扩张型心肌病且射血分数低的患者因直肠癌接受腹腔镜手术,该手术在气管插管全身麻醉和机械通气下成功完成。我们的观察结果强烈表明,详细的术前评估、密切的术中监测以及对液体状态和血流动力学的熟练优化,在接受气管插管全身麻醉和机械通气的高危患者中起着重要作用。

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