急性广泛前壁心肌梗死急性完全性小肠梗阻患者的麻醉一例
摘要
患者,男,61岁。因“急性广泛前壁心肌梗死,心功能KillipⅡ级”入院。因患者发病超过12h,给予冠心病Ⅱ级预防治疗,未予以溶栓治疗。患者入院后9d突发腹痛、腹胀、呕吐胃内容物,并伴低热。查体全腹压痛,结合腹部平片及腹部CT,诊断为“急性完全性小肠梗阻”。保守治疗2d,症状无明显缓解,遂急诊行“剖腹探查术”。
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2012年第10期1033-1034,共2页
Journal of Clinical Anesthesiology
参考文献5
-
1Fleisher LA, Beckman JA, Brown KA,et al. ACC/AHA 2007Guidelines on Perioperative Cardiovascular Evaluation and Carefor Noncardiac Surgery: Executive Summary: A Report of theAmerican College of Cardiology/ American Heart AssociationTask Force on Practice Guidelines (Writing Committee to Re-vise the 2002 Guidelines on Perioperative Cardiovascular Eval-uation for Norvcardiac Surgery) Developed in CollaborationWith the American Society of Echocardiography, AmericanSociety of Nuclear Cardiology, Heart Rhythm Society, Societyof Cardiovascular Anesthesiologists, Society for CardiovascularAngiography and Interventions, Society for Vascular Medicineand Biology.,and Society for Vascular Surgery. J Am Coll Car-dioU2007,50(17) :1707-1732.
-
2Landesberg G. The pathophysiology of perioperative myocar-dial infarction: facts and perspectives. J Cardiothorac VaseAnesth,2003,17(1) :90-100.
-
3Breukers RM, Sepehrkhouy S,Spiegelenberg SR, et al. Car-diac output measured by a new arterial pressure waveform a-nalysis method without calibration compared with thermodilu-tion after cardiac surgery. J Cardiothorac Vase Anesth, 2007,21(5): 632-635.
-
4Marx G, Cope T, McCrossan L, et al. Assessing fluid revspon-siveness by stroke volume variation in mechanically ventilatedpatients with severe sepsis. Eur J Anaesthesiol, 2004, 21(2):132-138.
-
5邱晓东,景亮.糖皮质激素替代疗法在感染性休克中的应用[J].临床麻醉学杂志,2004,20(6):378-380. 被引量:6
二级参考文献20
-
1Wheeler AP, Bernard GR. Treating patients with severe sepsis. N Engl J Med, 1999,340:207-214.
-
2Annane D, Sébille V, Troché G, et al. A 3-level prognostic classification in septic shock based on cortisol levels and cortisol response to corticotropin. JAMA, 2000, 283: 1038-1045.
-
3Perla D, Marmorston J. Suprarenal cortical hormone and salt in the treatment of pneumonia and other severe infections. Endocrinology, 1940,27: 367-374.
-
4Hahn EO,Houser HB,Rammekamp CH,et al.Effect of cortisone on acute streptococcal infections and post-streptococcal complications. J Clin Invest,1951,30:274.
-
5Schumer.Steroids in the treatment of clinical septic shock. Ann Surg, 1976,183:333.
-
6Effect of high-dose glucocorticoid therapy on mortality in patients with clinical signs of sepsis. The Veterans Administration Systemic Sepsis Cooperative Study Group. N Engl J Med, 1987, 317:659-665.
-
7Bone RC, Fisher CJ, Clemmer TP, et al. A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med, 1987, 317:653-658.
-
8Luce JM,Montgomery AB,Marks JD,et al.Ineffectiveness of high-does methyprednisolone in preventing parenchymal lung and improving mortality in patients with septic shock. Am Rev Respir Dis,1988,138:62.
-
9McGowan JE,Chesney PJ, Crossley KB,et al. Guidelines for the use of systemic glucocorticoids in the management of selected infections. J Infect Dis, 1992, 165:1-13.
-
10Lefering R, Neugebauer EA.Steroid controversy in sepsis and septic shock: A meta-analysis. Crit Care Med, 1995, 23: 1294-1303.
共引文献5
-
1蔡平.19例高龄感染性休克患者的麻醉处理[J].实用临床医学(江西),2005,6(3):73-73.
-
2杨秀洁,卜会驹,林小茂,温海洋,陈亮.小剂量促肾上腺皮质激素刺激试验在脓毒性休克患者皮质激素治疗中的应用研究[J].中华实用诊断与治疗杂志,2009,23(9):860-861. 被引量:2
-
3刘荣伟,王陆.感染性休克患者麻醉体会2例[J].中国现代医生,2009,47(29):117-118. 被引量:10
-
4叶文,汪全志,吴亮春,王锦权.感染性休克患者的手术麻醉分析[J].中国临床保健杂志,2012,15(4):410-411. 被引量:8
-
5李永兴,秦忠林,李珍.急腹症感染性休克老年患者72例的麻醉处理及术后转归分析[J].世界最新医学信息文摘,2017,0(85):35-36. 被引量:3
-
1张全武,张峻华,刘君.全小肠分离排列术治疗严重结核性腹膜炎合并完全性小肠梗阻[J].普外临床,1996,11(2):122-122. 被引量:1
-
2王桂卿.缺血性结肠炎19例临床分析[J].中国实用医药,2010,5(28):178-179.
-
3代英巍,孙剑锋.急性胰腺炎误诊为阑尾炎1例[J].中国误诊学杂志,2007,7(27):6711-6711.
-
4周斌,王丽.腹痛误诊1例分析[J].中国社区医师(医学专业),2009,11(13):161-161.
-
5肖霞.氢化可的松治疗腹型过敏性紫癜31例临床观察[J].山西医药杂志,2004,33(5):450-450. 被引量:2
-
6修克海,高丽波.大叶性肺炎误诊为阑尾炎1例[J].黑龙江医药科学,1997,20(5):82-83.
-
7李忠佑,刘健,陈红.冠状动脉栓塞致急性心肌梗死一例[J].中国心血管杂志,2012,17(6):424-425. 被引量:4
-
8王玉林,崔士猛,王洪江,王忠裕.缺血性结肠炎68例临床特征及内镜表现分析[J].大连医科大学学报,2014,36(1):62-64. 被引量:3
-
9周斌,王丽.腹痛误诊1例分析[J].中国社区医师(医学专业),2009,11(10):140-140.
-
10陈燕敏,李建阳.缺血性结肠炎30例临床分析[J].中国基层医药,2010,17(4):443-444. 被引量:6