1例重度肺功能不全患者脊柱侧凸矫形术的围手术期麻醉管理

朱徐锐; 郝静; 张伟; 董媛媛; 顾小萍

doi:10.16766/j.cnki.issn.1674-4152.003860

1例重度肺功能不全患者脊柱侧凸矫形术的围手术期麻醉管理

doi: 10.16766/j.cnki.issn.1674-4152.003860

1.
南京医科大学鼓楼临床医学院，江苏南京 210008
2.
南京大学医学院附属鼓楼医院麻醉科，江苏南京 210008

基金项目:

国家自然科学基金项目 81730033

国家自然科学基金项目 82171193

详细信息

通讯作者:
顾小萍，E-mail：xiaopinggu@nju.edu.cn

中图分类号: R681.5 R614.2
计量
- 文章访问数: 239
- HTML全文浏览量: 151
- PDF下载量: 18
- 被引次数: 0
出版历程
- 收稿日期: 2024-06-11
- 网络出版日期: 2025-02-13

Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report

2.
Department of Anesthesiology, Drum Tower Clinical College of Medicine, Nanjing Medical University, Nanjing, Jiangsu 210008, China

摘要

摘要: 脊柱侧凸合并胸廓畸形患者往往肺功能受到严重损伤，给手术麻醉带来极高的风险，脊柱矫形手术后近期肺功能会进一步下降，因此，围手术期选择合适的手术麻醉策略对保护患者肺功能十分重要。本文报道1例脊柱侧凸术前伴有严重的混合性通气功能障碍患者围手术期的麻醉管理。
- 脊柱侧凸 /
- 肺功能 /
- 围手术期管理 /
- 麻醉
Abstract: Patients with combined thoracic deformities due to spinal scoliosis often suffer severe lung function impairment, posing a high risk for anesthesia during surgery. Shortly after spinal orthopaedic surgery, their lung function typically deteriorates further. Therefore, implementing appropriate perioperative anesthesia strategies to protect lung function is crucial. This article reports the anesthesia management during the perioperative period for a case of severe mixed ventilation dysfunction in a patient with preoperative thoracic scoliosis.
- Scoliosis /
- Lung function /
- Perioperative management /
- Anesthesia

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图 1 立位全脊柱正位片

注：左(术前)，右(术后)。

Figure 1. Standing spinal x-rays

下载: 全尺寸图片幻灯片

图 2 术前胸部CT

Figure 2. Preoperative chest CT

下载: 全尺寸图片幻灯片

参考文献(16)

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