Bangert K, Lutz J T
Klinik für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg.
Anaesthesist. 2001 Apr;50(4):276-9. doi: 10.1007/s001010051002.
Fibrolamellar hepatocellular carcinomas (FLHCC) can grow into the inferior vena cava and the right atrium thus rendering it impossible to insert a pulmonary artery catheter or increasing the risk of tumor embolisation. We report of a young patient with intraatrial growth of a FLHCC where intraoperative transesophageal echocardiography (TEE) instead of a pulmonary artery catheter for continuous monitoring of hemodynamics was used. Hemodynamic parameters as well as the surgical result could easily be assessed.
纤维板层型肝细胞癌（FLHCC）可生长至下腔静脉和右心房，从而无法插入肺动脉导管或增加肿瘤栓塞的风险。我们报告了一名年轻患者，其FLHCC生长至心房内，术中使用经食管超声心动图（TEE）而非肺动脉导管来持续监测血流动力学。血流动力学参数以及手术结果均可轻松评估。
