膝关节置换术中应用鸡尾酒疗法罗哌卡因中毒一例

发布时间：2018-03-10 12:42

  本文选题：下肢血管彩超　切入点：心房纤颤　出处：《临床麻醉学杂志》2017年08期 　论文类型：期刊论文

【摘要】：正患者,女,76岁,74kg,因"左膝关节痛"入院,诊断为左膝骨性关节炎,拟在椎管内麻醉下行左侧人工膝关节置换术。术前检查示:ECG示心房纤颤,心室率99次/分;心脏彩超示EF 55%,主动脉钙化伴少量反流(退行性心瓣膜病),二尖瓣中等量反流,三尖瓣少量反流,心房纤颤,左室舒张功能降低,整体收缩功能正常;下肢血管彩超检查正常。
[Abstract]:The patient, female, 76 years old and 74 kg, was admitted to hospital because of "left knee joint pain" and was diagnosed as osteoarthritis of left knee. The left artificial knee arthroplasty was planned to be performed under intraspinal anesthesia. The preoperative examination showed atrial fibrillation and ventricular rate 99 times per minute. Echocardiography showed EF 55, aortic calcification with a small amount of regurgitation (degenerative valvular disease, middle mitral regurgitation, tricuspid regurgitation, atrial fibrillation, decreased left ventricular diastolic function, normal global systolic function, and lower extremity vascular color Doppler ultrasonography).
【作者单位】： 武警后勤学院附属医院麻醉科;
【分类号】：R687.4
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本文编号：1593387