心力衰竭患者行主动脉夹层覆膜支架植入术麻醉管理一例
摘要
<正>患者,男,78岁,70kg,ASAⅣ级。5年前无明显诱因出现呼吸困难,伴胸骨后辛辣感,活动后加重,不能平卧,诊断为急性心肌梗死、心力衰竭,给予冠脉造影及支架植入术。5d前因感冒后气短加重,且于夜间加重,坐起后好转,以"心力衰竭"收住我院心内科。入院查体:左肺底可闻及少许湿啰音,心界左下略扩大,双脚踝轻度指压痕。心脏超声提示:右房内径:41mm×60mm,右心室前后径19mm,左心房内径:33mm×56mm×63mm,左心室舒张期内径:57mm,收
引文
[1]李慧.老年射血分数保留的心功能不全研究进展.心血管病学进展,2016,37(4):354-357.
[2]Arora V,Velanovich V,Alarcon W.Preoperative assessment of cardiac risk and perioperative cardiac management in noncardiac surgery.Int J Surg,2011,9(1):23-28.
[3]张媛,鲍红光,史宏伟,等.De BakeyⅢ型主动脉夹层动脉瘤腔内隔绝术中控制性降压方法比较.中国医师进修杂志,2010,33(15):48-49.
[4]Hunt SA,Abraham WT,Chin MH,et al.2009Focused update incorporated into the ACC/AHA 2005guidelines for the diagnosis and management of heart failure in adults:a report of the american college of cardiology foundation/american heart association task Force on practice guidelines:developed in collaboration with the international society for heart and lung transplantation.Cirulation,2009,119(14):e391-e479.
[2]Arora V,Velanovich V,Alarcon W.Preoperative assessment of cardiac risk and perioperative cardiac management in noncardiac surgery.Int J Surg,2011,9(1):23-28.
[3]张媛,鲍红光,史宏伟,等.De BakeyⅢ型主动脉夹层动脉瘤腔内隔绝术中控制性降压方法比较.中国医师进修杂志,2010,33(15):48-49.
[4]Hunt SA,Abraham WT,Chin MH,et al.2009Focused update incorporated into the ACC/AHA 2005guidelines for the diagnosis and management of heart failure in adults:a report of the american college of cardiology foundation/american heart association task Force on practice guidelines:developed in collaboration with the international society for heart and lung transplantation.Cirulation,2009,119(14):e391-e479.