Kotera Atsushi, Kouzuma Seiji, Miyazaki Naoki, Taki Kenichirou, Esaki Kimiaki
Department of Anesthesiology, National Kumamoto Medical Center, Kumamoto 860-0008.
Masui. 2009 Jul;58(7):907-9.
We managed a patient with an ultra huge ovarian tumor weighing 48 kg. The patient was a 45-year-old woman and could not keep the supine position because of the respiratory disorder. Under local anesthesia with sedation, 28,000 ml of fluid was suctioned from the ultra huge ovarian tumor within about 2 hours in the left lateral position. The patient was turned into the supine position, and general anesthesia was induced. During the surgery, temporary oxygen desaturation and slight hypotension were observed after rapid suction from the ovarian tumor, but hemodynamic condition was almost stable. After extubation, respiratory and hemodynamic condition was good, and the patient had no postoperative complications. Anesthetic management of an ultra huge ovarian tumor is discussed.
我们为一名患有重达48公斤的超大卵巢肿瘤的患者进行了治疗。该患者为一名45岁女性，由于呼吸障碍无法保持仰卧位。在局部麻醉并给予镇静的情况下，患者左侧卧位，在约2小时内从超大卵巢肿瘤中吸出28000毫升液体。患者转为仰卧位后，诱导全身麻醉。手术过程中，在从卵巢肿瘤快速抽吸后观察到短暂的氧饱和度下降和轻微低血压，但血流动力学状况基本稳定。拔管后，呼吸和血流动力学状况良好，患者无术后并发症。本文讨论了超大卵巢肿瘤的麻醉管理。
