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id=\"material_title\" class=\"xcy-title\">\n  当肝硬化失代偿期遇上TIPS与SEVE手术：如何保障麻醉安全？\n\u003C/div>\n\n\u003Csection class=\"xcy-section xcy-bg-1\">\n  \u003Ch2 class=\"xcy-subtitle\">👋 聊聊身边的案例\u003C/h2>\n  \u003Cdiv class=\"xcy-content\">\n    有人问我，做肝硬化相关的手术麻醉是不是特别复杂？其实，只要用心准备，风险可控。我是徐春阳，来自南京市第二医院肿瘤科。最近门诊遇到一位69岁的阿姨，既有肝硬化病史，又伴高血压和糖尿病。说实话，这样的患者要手术，大家关心最多的，还是麻醉怎么“护航”。很多朋友觉得年纪大、有病就不能安全麻醉，其实办法还真的不少。\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"xcy-section xcy-bg-2\">\n  \u003Ch2 class=\"xcy-subtitle\">🔍 麻醉到底怎么选？\u003C/h2>\n  \u003Cdiv class=\"xcy-content\">\n    常见肝硬化患者做TIPS和SEVE这种手术时，麻醉方案一定要量身定做。简单讲，肝脏就像身体的“清洁工”，它一旦工作不稳，很多麻醉药物的分解和排出速度都会变慢。这种情况下，我们一般优先选择局部麻醉，因为全麻对肝脏压力更大，而且高龄伴多病，让术中的风险指数直线上升。说白了，就是不给肝脏添乱。就像电脑快满负荷时，咱再开大型软件肯定卡，局部麻醉其实就是选了一条“轻巧路线”。\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"xcy-section xcy-bg-3\">\n  \u003Ch2 class=\"xcy-subtitle\">⚠️ 手术期间有啥隐患？\u003C/h2>\n  \u003Cdiv class=\"xcy-content\">\n    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