[1]黄灿,傅卫军,蔡淑敏,等.肝切除术中不明原因严重循环衰竭:1例报告[J].南方医科大学学报,2018,(03):369.
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肝切除术中不明原因严重循环衰竭:1例报告()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2018年03期
页码:
369
栏目:
出版日期:
2018-04-03

文章信息/Info

Title:
A case of circulatory collapse during laparoscopic hepatectomy
作者:
黄灿傅卫军蔡淑敏曾振华
关键词:
肝切除循环衰竭血管紧张素II受体拮抗剂EV1000
Keywords:
hepatectomy circulatory failure angiotensin II receptor antagonist EV1000
摘要:
本文报告1例高血压患者在腹腔镜肝切除术中发生顽固性循环衰竭以及多学科医师的诊疗体会。该个案提示手术医师 及麻醉医师应重视术前停用血管紧张素II受体拮抗剂,以防止顽固性低血压的发生。此外,重症监护采用EV1000血流动力学 监测系统为临床液体管理决策带来更大的便利,值得更多医院和重症监护室推广。
Abstract:
We report a case of intractable circulatory failure event in a hypertensive patient during laparoscopy hepatectomy and analyze the diagnosis and treatment by multidisciplinary physicians. This case suggests that both surgeons and anesthesiologists should give attention to oral angiotensin II receptor antagonist during the preoperative period to avoid refractory hypotension. In addition, the use of EV1000 hemodynamic monitoring system in intensive care provides more convenience for clinical liquid management.

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更新日期/Last Update: 1900-01-01