麻醉医师面试病例集锦

本书通过20个病例，首先强调的是能够和会做临床麻醉的住院医生和已经受到良好临床训练的年轻主治医师才能够来回答这样的一些问题。问题将就回答深浅和切题可以进一步引深，灵活多变。只有真正具备掌握临床麻醉能力才能作出满意的答案。

本书通过20个病例，首先强调的是能够和会做临床麻醉的住院医生和已经受到良好临床训练的年轻主治医师才能够来回答这样的一些问题。问题将就回答深浅和切题可以进一步引深，灵活多变。只有真正具备掌握临床麻醉能力才能作出满意的答案。

俞卫锋，博士，主任医师、教授。中华医学会麻醉学分会副主任委员、中国医师协会麻醉学医师分会前任会长、上海交通大学医学院附属仁济医院麻醉科主任。童传耀，威克大学，博士，教授。

1. Geriatric anesthesia-anesthesia management for colectomy in an elderly patient with significant cardiac diseasePeishan Zhao老年手术麻醉--心脏病患者非心脏手术麻醉赵培山2. Abdominal surgery-Whipple resection Jianzhong Sun腹部外科手术病例--Whipple手术麻醉孙健中3. Anesthesia management for total thyroidectomyChuanyao Tong 普外科手术病例--甲状腺手术麻醉童传耀4. Ambulatory endoscopic surgery-ureteroscopic stone manipulationMing Xiong日间内窥镜手术病例--输尿管镜碎石术熊铭5. Anesthesia for total laryngectomyDongdong Yao耳鼻喉手术病例--全喉切除麻醉姚东东6. Anesthesia management for left adrenalectomy of pheochromocytomaYi Zhou, Renyu Liu嗜铬细胞瘤患者左肾上腺切除术的麻醉管理周一，刘仁玉7. Anesthesia for Hip Surgery in ElderlyChris C. Lee, Chuanyao Tong老年病人髋关节手术的麻醉李成付，童传耀8. Anesthesia consideration for pneumonectomyZhongcong Xie普胸手术病例－肺叶切除手术麻醉谢仲淙9. Anesthesia management for pituitary tumorSunny Chiao, Zhiyi Zuo脑外科手术病例-垂体瘤手术麻醉Sunny Chiao，左志义10. Anesthesia management for left carotid artery stent placementYonggang Peng置入颈动脉内支架的麻醉管理彭勇刚11. Anesthetic management for complex posterior spinal fusion and instrumentationChris C. Lee复杂后路脊柱融合术及脊柱矫形器械置入术的麻醉管理李成付12. Perioperative care for intracranial aneurysm clippingLingzhong Meng 颅内动脉瘤夹闭术的围术期管理孟令忠13. Perioperative care for carotid endarterectomyLingzhong Meng颈动脉内膜剥脱术的围术期管理孟令忠14. Complicated obstetric caseYun Xia合并多种疾病的临产妇的麻醉管理夏云15. A Elective C-section for a term pregnancy with placenta previaLingqun Hu选择性剖腹产与前置胎盘怀孕胡灵群16. Anesthesia management for aortic valve replacement Hong Liu  184主动脉瓣置换术的麻醉管理  刘虹17. Anesthesia management for ascending aortic aneurysm surgery  Shaofeng Zhou  191升主动脉瘤手术麻醉管理  周少凤18. Anesthetic Management of Coronary Artery Bypass Graft  Yanfu Shao  199冠状动脉搭桥术的麻醉  邵燕夫19. Pediatric Anesthesia-Anesthesia for tonsillectomy  Bo Zhu, Wenjuan Guo, Jing Zhao  211小儿手术麻醉－扁桃体切除术的麻醉  朱波，郭文娟，赵晶20. Anesthesia management for MVA trauma victim Chuanyao Tong 228车祸/多发伤手术麻醉童传耀

    A 70 years old woman with bloody stool and constipation for 2 months was scheduled for laparoscopic right hemicolectomy. Past medical history: She has a long list of comorbidities, which include: hypothyroidism, chronic obstructive pulmonary disease (COPD) on 2 L/min home O2 for 2 years (mainly used during the night). She quitted smoking 3 weeks ago. Diabetes mellitus (DM) type 2, hyperlipidemia, hypertension (HTN), peripheral vascular disease (PVD) with a fem-fem bypass surgery 6 years ago, coronary artery disease (CAD) for 10 years, myocardial infarction (MI) 2 times in the past. She had CABG with 3 vessels graft 6 years ago, and 3 drug eluting stents (DES) 2 years ago. She has angina two to three times a month, usually resolved by taking nitroglycerine or rest.病史：70岁女性，大便带血和便秘2个月。计划腹腔镜右半结肠切除术。她有很多的合并症，包括：甲状腺功能低下、慢性阻塞性肺疾病；在家使用2升/每分钟的氧气已经有2年（主要在夜间使用）。3个星期前戒烟。2型糖尿病、高脂血症、高血压、外周血管疾病，6年前做过股动脉-股动脉搭桥术。冠状动脉疾病10年，心肌梗死2次。她在6年前接受了3枝血管冠状动脉搭桥术，2年前接受了3个药物洗脱支架。目前，她每月有两到三次心绞痛，通常通过服用硝酸甘油或休息后缓解。