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Anesthetic management strategies for patients with cirrhotic portal hypertension
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摘要:
肝硬化门静脉高压症患者具有多系统器官功能障碍,其麻醉管理有特殊性,涉及麻醉药物代谢障碍、高动力循环、围术期低氧血症、凝血功能障碍、出血、血栓形成和肝性脑病等多方面的综合考量,是麻醉医师工作中的难点。综述了肝硬化门静脉高压症麻醉管理策略,为围手术期优化麻醉管理提供有效参考。
Abstract:Patients with cirrhotic portal hypertension tend to develop multiple organ dysfunction and have special requirements for anesthetic management, which involves disorders in the metabolism of anesthetics, hyperdynamic circulation, perioperative hypoxemia, coagulation disorder, bleeding, thrombosis, and hepatic encephalopathy, and thus it becomes a difficult issue in the work of anesthesiologists. This article reviews the anesthetic management strategies for cirrhotic portal hypertension, in order to provide an effective reference for optimization of perioperative anesthetic management.
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Key words:
- liver cirrhosis /
- hypertension, portal /
- anesthesia /
- review
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