切换至 "中华医学电子期刊资源库"

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()   
  1. 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()   

  1. 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
引用本文:

佟鑫, 何毅, 周莹, 付强. 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[J/OL]. 中华肥胖与代谢病电子杂志, 2023, 09(02): 143-145.

Xin Tong, Yi He, Ying Zhou, Qiang Fu. Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report[J/OL]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(02): 143-145.

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。

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.

[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] 宋玟焱, 杜美君, 陈佳丽, 石冰, 黄汉尧. 唇腭裂手术围手术期疼痛管理的研究进展及基于生物材料治疗新方法的展望[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 397-405.
[2] 池畔, 黄胜辉. 中国腹腔镜直肠癌根治术30年来的巨大进步[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 596-600.
[3] 孟令凯, 李大勇, 王宁, 王桂明, 张炳南, 李若彤, 潘立峰. 袖状胃切除术对肥胖伴2型糖尿病大鼠的作用及机制研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 638-642.
[4] 杜伟, 廖土明, 李雄才, 关刚强, 何燊, 吴佳桥, 朱和荣. 2%利多卡因凝胶和润滑剂凝胶在女性尿流动力学检查中应用的随机对照研究[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 613-617.
[5] 杨勇军, 曾一鸣, 贺显雅, 卢强, 李远伟. ASA分级≥Ⅲ级患者局麻经会阴前列腺多模态影像融合穿刺的安全性和有效性[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(05): 441-447.
[6] 何岩, 向文采. 七氟醚与异丙酚联合氯胺酮麻醉在疝修补术中的镇静镇痛效果及安全性[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 566-569.
[7] 丁荷蓓, 王珣, 陈为国. 七氟烷吸入麻醉与异丙酚静脉麻醉在儿童腹股沟斜疝手术中的应用比较[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 570-574.
[8] 玉素江·图荪托合提, 韩琦, 麦麦提艾力·麦麦提明, 黄旭东, 王浩, 克力木·阿不都热依木, 艾克拜尔·艾力. 腹腔镜袖状胃切除或联合食管裂孔疝修补术对肥胖症合并胃食管反流病的中期疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 501-506.
[9] 任传富, 杨志, 徐恩, 何梓芸, 罗板鑫, 陈新, 夏雪峰. 腹腔镜疝修补术联合胃底折叠术治疗食管裂孔疝合并胃食管反流病40 例临床分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 507-511.
[10] 刘见, 杨晓波, 何均健, 等. 应用电钩三孔法腹腔镜袖状胃切除术[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(06): 363-364.
[11] 张蕾, 彭超, 周应芳. 直肠阴道隔子宫内膜异位症腹腔镜手术技巧[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(05): 257-261.
[12] 徐敬云, 丁波, 蒋宇慧, 沈杨. 妊娠期单孔腹腔镜手术实施行与思[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(05): 262-266.
[13] 李干斌, 侯睿, 郭雅萍, 张潇, 邱小原, 牛备战, 林国乐. 改良经辅助切口回肠造口在腹腔镜直肠癌根治术的应用[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(05): 271-276.
[14] 张宗明, 董家鸿, 何小东, 王秋生, 徐智, 刘立民, 张翀. 老年胆道外科热点问题的争议与思考[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 754-762.
[15] 张迪, 王春霞, 张学东, 李发馨, 庞淅文, 陈一锋, 张维胜, 王涛. 梗阻性左半结直肠癌自膨式金属支架置入后行腹腔镜手术与开腹手术的短期临床疗效比较[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(05): 375-380.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?