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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.

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/ca39/11457819/700abc003db1/cureus-0016-00000068871-i01.jpg

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