Horvat Ana, Kolak Juranko, Gopcević Aleksandar, Ilej Mirjana, Zivko Gnjidić
University Department of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
Acta Clin Croat. 2011 Jun;50(2):209-16.
Pituitary tumors account for more than 10% of all intracranial tumors. They often present with symptoms of hormonal hypersecretion, although they may also cause hypopituitarism. Transsphenoidal pituitary surgery has become a commonly performed neurosurgical procedure, which has certain challenges for the anesthesiologist due to many distinct comorbidities associated with various adenomas. This article provides a review of perioperative concerns regarding transsphenoidal pituitary surgery, encountered in a number of these patients. Thorough understanding of preoperative assessment, intraoperative management and potential complications is fundamental for successful perioperative patient care and avoidance of morbidity and mortality.
垂体肿瘤占所有颅内肿瘤的10%以上。它们常表现为激素分泌过多的症状，不过也可能导致垂体功能减退。经蝶窦垂体手术已成为一种常用的神经外科手术，由于各种腺瘤存在许多不同的合并症，这给麻醉医生带来了一定的挑战。本文综述了许多此类患者经蝶窦垂体手术围手术期需要关注的问题。全面了解术前评估、术中管理及潜在并发症是围手术期成功护理患者并避免发病和死亡的基础。
