部分体外循环期间肾腔房肿瘤血栓的麻醉管理
Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypass.
作者信息
Gökbulut Bektaş Şerife, Altınkaya Çavuş Mine, Turan Sema
机构信息
Department of Intensive Care, University of Health Sciences, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
出版信息
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Sep 16;26(4):658-663. doi: 10.5606/tgkdc.dergisi.2018.16685. eCollection 2018 Oct.
Abstract
A 58-year-old male patient was scheduled for the surgical removal of a cavoatrial thrombus and renal tumors during cardiopulmonary bypass without circulatory arrest. Throughout the operation, continuous monitoring for pulmonary embolism was carried out by transesophageal echocardiography. A multidisciplinary team including anesthetists, urologists, and cardiovascular and gastrointestinal surgeons performed the operation successfully. This case report highlights the importance of anesthetic management in renal-cell carcinoma patients with a cavoatrial thrombus.
摘要
一名58岁男性患者计划在体外循环且无循环停止的情况下，通过手术切除腔房血栓和肾肿瘤。在整个手术过程中，通过经食管超声心动图持续监测肺栓塞情况。一个由麻醉师、泌尿科医生、心血管外科医生和胃肠外科医生组成的多学科团队成功完成了手术。本病例报告强调了对患有腔房血栓的肾细胞癌患者进行麻醉管理的重要性。
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