病历摘要:患者男性,43岁。身高1.68m,体重126kg。胆总管结石、梗阻性黄疽。拟行胆总管切开取石,T形管引流术。病人既往有8年高血压、冠心病、糖尿病...

作者: rantiku 人气: - 评论: 0
问题 病历摘要:患者男性,43岁。身高1.68m,体重126kg。胆总管结石、梗阻性黄疽。拟行胆总管切开取石,T形管引流术。病人既往有8年高血压、冠心病、糖尿病史,2年前诊断为睡眠呼吸暂停综合征。术前检查血压185/110mmHg,心率68bpm、ECG示不正常S-T段、T波改变。查体发现病人颈短粗下颌及颈部脂肪赘积,气管触摸不清,椎体及椎间隙触摸不清。预计气管插管或硬膜外穿刺都会困难。 最恰当的麻醉方法是
选项 A、局麻 B、基础麻醉 C、腰麻 D、气管插管全麻 E、硬膜外麻醉
答案 D
解析 D

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