幼儿胰十二指肠切除术（惠普尔手术）：一例麻醉病例报告

Pancreaticoduodenectomy (Whipple Procedure) in a Toddler: An Anesthesia Case Report.

作者信息

Smith Erik B, Hardart Richard

机构信息

From the Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

A A Pract. 2019 Oct 15;13(8):303-305. doi: 10.1213/XAA.0000000000001060.

DOI:10.1213/XAA.0000000000001060

PMID:31313664

Abstract

Pancreaticoduodenectomy (Whipple procedure) is performed rarely in pediatric patients. We present our anesthetic management of an 18-month-old girl who underwent a Whipple procedure for a mass in the head of the pancreas that was causing obstructive cholangiopathy. We explore the differences between pediatric and adult patients presenting for Whipple procedure, with a focus on pediatric anesthetic management. Key considerations include blood and fluid management, perioperative analgesia, and postoperative care.

摘要

胰十二指肠切除术（惠普尔手术）在儿科患者中很少进行。我们介绍了一名18个月大女孩的麻醉管理情况，该女孩因胰头肿物导致梗阻性胆管病而接受了惠普尔手术。我们探讨了接受惠普尔手术的儿科患者与成年患者之间的差异，重点是儿科麻醉管理。关键考虑因素包括血液和液体管理、围手术期镇痛及术后护理。