Capron F, Fialip S, Guitard I, Lasser P, Billard V
Service d'anesthésie, institut Gustave-Roussy, Villejuif, France.
Ann Fr Anesth Reanim. 2000 Aug;19(7):552-5. doi: 10.1016/s0750-7658(00)00252-5.
This case report described the perioperative management of a patient undergoing laparotomy for ileal carcinoid tumor with liver metastases and preoperative carcinoid syndrome. During surgery, bispectral index monitoring, combined with classical blood pressure and heart rate, allowed to discriminate hypertension related to the carcinoid syndrome, from hypertension reflecting an inadequate level of anaesthesia. Consequently, adequate treatment by a somastotatin analogue could be early administered.
本病例报告描述了一名因回肠类癌肿瘤伴肝转移及术前类癌综合征而行剖腹手术患者的围手术期管理。手术期间,脑电双频指数监测结合传统的血压和心率监测,有助于区分类癌综合征相关的高血压与麻醉深度不足导致的高血压。因此,可早期给予生长抑素类似物进行适当治疗。