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经皮计算机断层扫描引导下肾细胞瘤射频消融术的麻醉管理：一例报告

Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report.

作者信息

Gil Nam-Su, Han Jeong Yeol, Ok Seong-Ho, Shin Il-Woo, Lee Heon Keun, Chung Young-Kyun, Sohn Ju-Tae

机构信息

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Seoul, Korea.

Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Jinju, Korea.

出版信息

Korean J Anesthesiol. 2015 Feb;68(1):78-82. doi: 10.4097/kjae.2015.68.1.78. Epub 2015 Jan 28.

DOI:10.4097/kjae.2015.68.1.78
PMID:25664160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4318870/
Abstract

A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.

摘要

肾素瘤是一种罕见的、良性的、分泌肾素的球旁细胞瘤，可导致年轻患者继发性高血压。这种高血压通过肿瘤切除来治疗。一名患有肾素瘤的19岁女性入院时，除血浆肾素、血管紧张素I和II水平升高外，其他体格检查、实验室检查及心电图均在正常范围内。对于经皮计算机断层扫描引导下的射频消融术，采用硫喷妥钠和罗库溴铵诱导全身麻醉，并用七氟醚（2 - 4体积%）和氧气维持麻醉。手术在血流动力学稳定的情况下顺利结束。然而，患者术后5小时坐位时出现头晕，诊断为低血压。在30分钟内积极输注1升生理盐水后，低血压得到纠正，患者康复，无任何其他手术并发症。在此，我们报告一例因肾素瘤破坏而接受经皮计算机断层扫描引导下射频消融术患者的麻醉管理，特别关注术后低血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/5e81d0f3c068/kjae-68-78-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/96c0db570367/kjae-68-78-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/79d27a557892/kjae-68-78-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/5e81d0f3c068/kjae-68-78-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/96c0db570367/kjae-68-78-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/79d27a557892/kjae-68-78-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5be/4318870/5e81d0f3c068/kjae-68-78-g003.jpg

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