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患者,男,59岁,体重64.5 kg,吸烟史21年,烟量每日1包,因右腹股沟疝术后复发5月入院,诊断为右腹股沟复发疝,拟在硬膜外麻醉下行右侧腹股沟疝修补术。入院时无呼吸系统炎症及其他并发症。入室后常规监测心电图(ECG)、无创血压(BP)、心率(HR)和脉搏血氧饱和度(SpO_2),开放左上肢静脉,输注5%葡萄糖注射液250 ml后,取左侧卧位,经L_1、L_2椎间隙予1%利多卡因2 ml行局部麻醉后行硬膜外穿刺,穿刺失败,期间未予药物,与患者沟通后更改麻醉,予吸氧并静脉缓注
The patient, male, 59 years old, weighing 64.5 kg, had a history of smoking 21 years and had a daily dose of 1 packet of cigarettes. He was admitted to the hospital after a right inguinal hernia recurrence in May and was diagnosed as a right inguinal hernia. Groin hernia repair. No respiratory inflammation and other complications at admission. Ventricular electrocardiogram (ECG), noninvasive blood pressure (BP), heart rate (HR) and pulse oximetry (SpO_2) were routinely monitored after admission. The left upper limb vein was opened and 250 ml of 5% glucose infusion was infused. , By L_1, L_2 intervertebral space to 1% lidocaine 2ml line local anesthesia epidural puncture, puncture failure, during the absence of drugs, communicate with patients after the change of anesthesia, oxygen and intravenous infusion