在脊髓-硬膜外麻醉和镇静联合麻醉下，老年重症慢性阻塞性肺疾病患者行胃癌远端开放式胃切除术1例。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-10-14 DOI:10.1002/ccr3.71221

Hiromi Shinohara, Gotaro Shirakami, Maki Ishii, Masahiro Kakuyama

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引用次数: 0

摘要

只有少数报道描述了胃切除术避免全身麻醉，以防止严重呼吸功能障碍患者术后肺部并发症。一位80岁男性患者，患有严重慢性阻塞性肺疾病，计划行晚期胃癌手术治疗。我们成功地对他进行了脊髓硬膜外联合麻醉和右美托咪定镇静。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Open Distal Gastrectomy for Gastric Cancer in an Older Patient With Severe Chronic Obstructive Pulmonary Disease Under Combined Spinal–Epidural Anesthesia and Sedation: A Case Report

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Open Distal Gastrectomy for Gastric Cancer in an Older Patient With Severe Chronic Obstructive Pulmonary Disease Under Combined Spinal–Epidural Anesthesia and Sedation: A Case Report

Only a few reports have described gastrectomy performed avoiding general anesthesia to prevent postoperative pulmonary complications in patients with severe respiratory dysfunction. An 80-year-old male patient with severe chronic obstructive pulmonary disease was scheduled to undergo surgery for advanced gastric cancer. We successfully managed him using combined spinal–epidural anesthesia with dexmedetomidine sedation during open distal gastrectomy.

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).