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一名高危扩张型心肌病患者行右侧腹股沟疝修补术并睾丸切除术的麻醉管理

Anaesthetic Management of Right Inguinal Hernioplasty With Hemiorchidectomy in a High-Risk Dilated Cardiomyopathy Patient.

作者信息

Vadhanan Prasanna, Akella Karthik S

机构信息

Department of Anaesthesiology, Vinayaka Mission's Medical College, Vinayaka Mission's Research Foundation, Karaikal, IND.

出版信息

Cureus. 2024 Sep 7;16(9):e68871. doi: 10.7759/cureus.68871. eCollection 2024 Sep.

DOI:10.7759/cureus.68871
PMID:39376885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11457819/
Abstract

This case report details the successful anaesthetic management of a 65-year-old male with severe dilated cardiomyopathy, coronary artery disease, and extensive cardiovascular risk factors scheduled for elective right inguinal hernioplasty with hemiorchidectomy. The anaesthetic approach, including regional nerve blocks (ilioinguinal, iliohypogastric, genital branch of genitofemoral) and transversus abdominis plane block, successfully minimised cardiac stress and maintained hemodynamic stability throughout the procedure.

摘要

本病例报告详细介绍了一名65岁男性患者的成功麻醉管理情况。该患者患有严重扩张型心肌病、冠状动脉疾病及广泛心血管危险因素，计划行择期右腹股沟疝修补术并睾丸切除术。麻醉方法包括区域神经阻滞（髂腹股沟神经阻滞、髂腹下神经阻滞、生殖股神经生殖支阻滞）及腹横肌平面阻滞，在整个手术过程中成功降低了心脏应激并维持了血流动力学稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/e7369064eeac/cureus-0016-00000068871-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/700abc003db1/cureus-0016-00000068871-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/e65243fd0519/cureus-0016-00000068871-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/e7369064eeac/cureus-0016-00000068871-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/700abc003db1/cureus-0016-00000068871-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/e65243fd0519/cureus-0016-00000068871-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca39/11457819/e7369064eeac/cureus-0016-00000068871-i03.jpg

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本文引用的文献

1
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2022年美国心脏协会/美国心脏病学会/美国心力衰竭学会心力衰竭管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
Circulation. 2022 May 3;145(18):e895-e1032. doi: 10.1161/CIR.0000000000001063. Epub 2022 Apr 1.
2
Incidence of major adverse cardiac events following non-cardiac surgery.非心脏手术后主要不良心脏事件的发生率。
Eur Heart J Acute Cardiovasc Care. 2021 Jun 30;10(5):550–558. doi: 10.1093/ehjacc/zuaa008. Epub 2020 Oct 14.
3
Ilioinguinal/iliohypogastric nerve block versus transversus abdominis plane block for pain management following inguinal hernia repair surgery: A systematic review and meta-analysis of randomized controlled trials.
腹股沟疝修补术后疼痛管理中髂腹股沟/髂腹下神经阻滞与腹横肌平面阻滞的比较：随机对照试验的系统评价和荟萃分析
Medicine (Baltimore). 2019 Oct;98(42):e17545. doi: 10.1097/MD.0000000000017545.
4
The subcostal nerve as the target for nerve stimulator guided transverse abdominis plane blocks - A feasibility study.以肋下神经作为神经刺激器引导下腹横肌平面阻滞的靶点——一项可行性研究。
Indian J Anaesth. 2019 Apr;63(4):265-269. doi: 10.4103/ija.IJA_782_18.
5
The patient with ischaemic heart disease undergoing non cardiac surgery.患有缺血性心脏病且正在接受非心脏手术的患者。
Indian J Anaesth. 2017 Sep;61(9):705-711. doi: 10.4103/ija.IJA_384_17.
6
Ultrasound-guided genitofemoral nerve block for inguinal hernia repair in the male adult: a randomized controlled pilot study.超声引导生殖股神经阻滞在男性腹股沟疝修补术中的应用：一项随机对照的初步研究。
Minerva Anestesiol. 2018 Feb;84(2):189-195. doi: 10.23736/S0375-9393.17.11948-6. Epub 2017 Jul 5.
7
Nitrous oxide and the inhalation anesthetics.氧化亚氮与吸入性麻醉剂。
Anesth Prog. 2008 Winter;55(4):124-30; quiz 131-2. doi: 10.2344/0003-3006-55.4.124.
8
Inguinal hernias.腹股沟疝
BMJ. 2008 Feb 2;336(7638):269-72. doi: 10.1136/bmj.39450.428275.AD.
9
Comparison of spinal vs general anesthesia via laryngeal mask airway in inguinal hernia repair.腹股沟疝修补术中经喉罩气道行脊髓麻醉与全身麻醉的比较。
Arch Surg. 2004 Feb;139(2):183-7. doi: 10.1001/archsurg.139.2.183.
10
Pulmonary and systemic vascular responses to nitrous oxide in patients with mitral stenosis and pulmonary hypertension.二尖瓣狭窄和肺动脉高压患者对氧化亚氮的肺血管和体循环血管反应。
Anesth Analg. 1980 May;59(5):323-6.