腹腔镜袖状胃切除术治疗肥胖合并风湿性心脏病患者麻醉管理一例

doi:10.3877/cma.j.issn.2095-9605.2023.02.012

中华肥胖与代谢病电子杂志 ›› 2023, Vol. 09 ›› Issue (02) : 143 -145. doi: 10.3877/cma.j.issn.2095-9605.2023.02.012

病例报告

腹腔镜袖状胃切除术治疗肥胖合并风湿性心脏病患者麻醉管理一例

佟鑫, 何毅, 周莹, 付强^†(

)

610031　成都，西南交通大学附属医院·成都市第三人民医院麻醉科

收稿日期:2022-10-28 出版日期:2023-05-30
通信作者: 付强

Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report

Xin Tong, Yi He, Ying Zhou, Qiang Fu^†()

Affiliated Hospital of Southwest Jiaotong University, the Third People's Hospital of Chengdu, Chengdu 610031, China

Received:2022-10-28 Published:2023-05-30
Corresponding author: Qiang Fu

全文 ( ) 下载PDF ( ) 导出引用

随着生活水平的提升，肥胖症的发病率逐年升高。腹腔镜袖状胃切除术（LSG）是目前实现减重及解决相关健康问题的最有效手段之一，风湿性心脏病是由风湿热反复发作后导致的心脏瓣膜损伤。本文总结一例肥胖合并风湿性心脏病的患者行腹腔镜袖状胃切除术麻醉期间的管理及治疗手段，总结相关治疗经验。

关键词: 腹腔镜手术, 袖状胃切除术, 风湿性心脏病, 麻醉, 减重手术

With the improvement of living standards, the incidence of obesity increasesyear by year.Laparoscopic sleeve gastrectomy is currently one of the most effective ways to achieve weight loss and solve related health problems,rheumatic heart disease is damage to the heart valves caused by repeated attacks of rheumatic fever.This article summarizes the management and treatment of an obese patient complicated with rheumatic heart disease during laparoscopic sleeve gastrectomy and anesthesia, and summarizes the relevant treatment experience.

Key words: Laparoscopic surgery, Sleeve gastrectomy, Rheumatic heart disease, Anaesthesia, Bariatric surgery

[1]	Bruce MW, Elizaveta K, Robert HE. Treatment of Obesity: Weight Loss and Bariatric Surgery [J]. Circulation research, 2016, 118(11): 1844-1855.
[2]	Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects [J]. The New England journal of medicine, 2007, 357(8): 741-752.
[3]	Lim CP, Fisher OM, Falkenback D, et al. Bariatric surgery provides a "bridge to transplant" for morbidly obese patients with advanced heart failure and may obviate the need for transplantation [J]. Obesity surgery, 2016, 26(3): 486-493.
[4]	Yacoub M, Mayosi B, Elguindy A, et al. Eliminating acute rheumatic fever and rheumatic heart disease [J]. Lancet, 2017, 390(10091): 212-213.
[5]	Vervoort D, Antunes MJ, Pezzella AT. Rheumatic heart disease: The role of global cardiac surgery [J]. Journal of Cardiac Surgery. 202136(8): 2857-2864.
[6]	Passos LSA, Nunes MCP, Aikawa E.Rheumatic heart valve disease pathophysiology and underlying mechanisms [J]. Frontiers in cardiovascular medicine, 2021: 612716.
[7]	Buchwald H. Metabolic/bariatric surgery worldwide 2011 [J]. Obesity surgery, 2013, 23(4): 427-436.
[8]	熊逸波, 黄韦歆, 梅亮, 等. 扩张型心肌病患者的减重手术麻醉管理1例 [J/CD]. 中华肥胖与代谢病电子杂志, 2020, 6(4): 4.
[9]	Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome [J]. Obesity Surgery, 2006, 16(10): 1323-1326.
[10]	黄秀丽, 崔旭蕾. 扩张型心肌病全心衰竭合并重度睡眠呼吸暂停综合征患者麻醉处理1例 [J]. 广东医学, 2018, 39(23): 1.
[11]	Pourfakhr P, Aghabagheri M, Zabihi MH, et al.Prophylactic administration of diphenhydramine/acetaminophen and ondansetron reduced postoperative nausea and vomiting and pain following laparoscopic sleeve gastrectomy: a randomized controlled trial [J]. Obesity surgery, 2021, 31(10): 4371-4375.
[12]	Naeem Z, Chen IL, Pryor AD, et al.Antiemetic prophylaxis and anesthetic approaches to reduce postoperative nausea and vomiting in bariatric surgery patients: a systematic review [J]. Obesity Surgery, 2020, 30(8): 3188-3200.

[1]	甄子铂, 刘金虎. 基于列线图模型探究静脉全身麻醉腹腔镜胆囊切除术患者术后肠道功能紊乱的影响因素[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 61-65.
[2]	纪凯伦, 郝少龙, 孙海涛, 韩威. 减重术后胆囊结石形成机制的新进展[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 100-103.
[3]	田静, 方秀春. 超声引导下横筋膜平面阻滞在儿童腹股沟疝手术的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 740-744.
[4]	刘骏, 朱霁, 殷骏. 右美托咪定对腹股沟疝手术麻醉效果及安全性的影响[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 570-573.
[5]	孙伟, 林丽, 师高洋. 超声引导下连续髂腹股沟-髂腹下神经阻滞与腹横肌平面阻滞在老年腹股沟疝手术中应用效果比较[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 593-597.
[6]	党情超, 魏星, 詹必伟, 何振. 超声引导下髂腹股沟-髂腹下神经阻滞联合局部麻醉在老年腹股沟疝修补术中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 598-602.
[7]	周顺, 赵素侠, 时静静, 吴双双, 吴圆圆, 李金山. 丙泊酚-舒芬太尼复合七氟烷吸入对小儿腹腔镜疝囊高位结扎术的麻醉效果及安全性[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 603-607.
[8]	牛朝, 李波, 张万福, 靳文帝, 王春晓, 李晓刚. 腹腔镜袖状胃切除联合胆囊切除治疗肥胖合并胆囊结石安全性和疗效[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 635-639.
[9]	段文忠, 白延霞, 徐文亭, 祁虹霞, 吕志坚. 七氟烷和丙泊酚在肝切除术中麻醉效果比较Meta分析[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 640-645.
[10]	孙秀艳, 徐庆蕾, 马鹏涛, 胡志元, 郭传真, 祝成红. 腹腔镜胃癌根治术中患者体温变化与压力性损伤及受压部位微环境的相关性分析[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 480-484.
[11]	王军, 刘鲲鹏, 姚兰, 张华, 魏越, 索利斌, 陈骏, 苗成利, 罗成华. 腹膜后肿瘤切除术中大量输血患者的麻醉管理特点与分析[J]. 中华临床医师杂志(电子版), 2023, 17(08): 844-849.
[12]	索利斌, 刘鲲鹏, 姚兰, 张华, 魏越, 王军, 陈骏, 苗成利, 罗成华. 原发性腹膜后副神经节瘤切除术麻醉管理的特点和分析[J]. 中华临床医师杂志(电子版), 2023, 17(07): 771-776.
[13]	李静, 张玲玲, 邢伟. 兴趣诱导理念用于小儿手术麻醉诱导前的价值及其对家属满意度的影响[J]. 中华临床医师杂志(电子版), 2023, 17(07): 812-817.
[14]	边震, 宋绍永, 杨国旺, 范凤尾, 黄庆红, 李健, 金鑫. 江苏省基层医院围麻醉期危机状况的调查分析[J]. 中华临床医师杂志(电子版), 2023, 17(05): 499-506.
[15]	马洪庆, 于淼, 张建锋, 武雪亮, 胡旭华, 王光林, 孟泽松, 于滨, 王贵英. 混合入路与传统中央入路在腹腔镜直肠癌根治术中的疗效分析[J]. 中华临床医师杂志(电子版), 2023, 17(05): 545-550.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report