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尿毒症患者病情复杂,常合并严重的贫血、低蛋白血症、高血压、水电解质紊乱、凝血功能障碍、组织水肿、重要器官功能异常等症状,这给需要手术治疗患者的全身麻醉(简称“全麻”)带来挑战[1]。严重尿毒症全麻病例少见,现将我院收治的1例报道如下。1病例资料患者,女,65岁,50 kg。于2016-04-09因急性阑尾炎入住我院外科进行治疗。临床诊断为急性阑尾炎,拟在全麻下行腹腔镜阑尾切除术。既往尿毒症3年,2015年开始透析,每周2
Patients with uremia complicated by the disease, often with severe anemia, hypoproteinemia, hypertension, water and electrolyte disorders, coagulation disorders, tissue edema, vital organ dysfunction and other symptoms, which require surgical treatment of patients with general anesthesia (referred to as “Anesthetic ”) brings challenges [1]. Severe uremia cases of general anesthesia, now admitted to our hospital in 1 case reported as follows. 1 case information patients, female, 65 years old, 50 kg. 2016-04-09 Surgical treatment of acute appendicitis admitted to our hospital. Clinical diagnosis of acute appendicitis, undergoing laparoscopic appendectomy under general anesthesia. Previous uremia 3 years, dialysis started in 2015, 2 per week