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患者面血管瘤的麻醉管理:病例报告。

Anesthetic management of a patient with face hemangioma: case report.

机构信息

Eskisehir Osmangazi University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Eskisehir, Turkey.

Eskisehir Osmangazi University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Eskisehir, Turkey.

出版信息

Braz J Anesthesiol. 2021 Mar-Apr;71(2):171-174. doi: 10.1016/j.bjane.2021.02.019. Epub 2021 Feb 11.

Abstract

Anesthetic agents and/or surgical positions, the total volume of hemangioma may increase under general anesthesia; thus, airway management of patients with a hemangioma may be very difficult. Our patient in this case report has a periorbital and oropharyngeal hemangioma that reaches down to the esophagus. We observed that the size and volume of the hemangioma increased significantly during elective nephrectomy surgery. After adequate therapy with steroids and beta-blockers, the size of the hemangioma decreased during the postoperative care unit monitoring period. We report this case to show the importance of airway management of hemangiomas with the potential for life-threatening complications.

摘要

麻醉剂和/或手术体位可能会使血管瘤的总体积在全身麻醉下增加;因此,血管瘤患者的气道管理可能非常困难。在本病例报告中,我们的患者患有眶周和口咽血管瘤,延伸至食管。我们观察到,在择期肾切除术期间,血管瘤的大小和体积明显增大。在充分应用类固醇和β受体阻滞剂治疗后,血管瘤在术后监护期间的大小减小。我们报告此病例以表明对具有危及生命并发症风险的血管瘤进行气道管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f4/9373525/134bb5afcdcc/gr1.jpg

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