Shibasaki Masayuki, Okano Keiko, Kageyama Kyoko, Nakajima Yasufumi, Ibuki Takae, Tanaka Yoshifumi
Department of Anesthesia, Otemae Hospital, Osaka 540-0008.
Masui. 2005 Nov;54(11):1302-5.
We gave anesthesia to a neonate with a retroperitoneal giant teratoma who underwent its extirpation. Even if patients have a prenatal diagnosis of teratoma like this case, there are many patients, especially infants, with severe general condition. We report the difficulty for management during anesthesia because of severe respiratory acidosis due to pressure from diaphragmatic pleura by tumor, severe circulatory disorder due to massive bleeding during operation and severe hyperkalemia due to renal failure.
我们对一名患有腹膜后巨大畸胎瘤并接受肿瘤切除手术的新生儿实施了麻醉。即便患者如该病例一样在产前就被诊断出患有畸胎瘤，但仍有许多患者，尤其是婴儿，全身状况较差。我们报告了因肿瘤对膈胸膜的压迫导致严重呼吸性酸中毒、手术期间大量出血导致严重循环障碍以及肾衰竭导致严重高钾血症而给麻醉管理带来的困难。
