腹腔神经丛阻滞的持续性低血压及其他并发症：一例报告并文献复习

Persistent hypotension and other complications of celiac plexus neurolysis: A case report and literature review.

作者信息

Dos Santos Silva Rhuann Pontes, Lopes Arthur José Maia, Bezerra Roberto Borges, Andrade Rafael Albanez, Andrade Rebeca Gonelli, da Costa Larissa Monteiro Ferreira, de Albuquerque da Cunha Andrade Carolina Albanez

机构信息

Catholic University of Pernambuco Recife Brazil.

CERNEDOR, Real Hospital Português Recife Brazil.

出版信息

Clin Case Rep. 2023 Jun 8;11(6):e7505. doi: 10.1002/ccr3.7505. eCollection 2023 Jun.

DOI:10.1002/ccr3.7505

PMID:37305872

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10250686/

Abstract

KEY CLINICAL MESSAGE

Persistent hypotension is a rare complication of celiac plexus neurolysis. It is important to know what are the main and rare complications and how to treat these in patients who undergo CPN.

ABSTRACT

Celiac plexus neurolysis is an effective treatment for visceral abdominal pain in oncological patients. Although it rarely has complications, some side effects may occur. A patient with visceral abdominal pain who developed long-lasting orthostatic hypotension and was treated with the use of corticosteroids after a neurolytic celiac plexus block for intractable pain. We describe a rare complication and its treatment and we emphasize the importance of having a guide for the management and treatment of rare complications. We also suggest that every patient be informed about complications, from the most common to the rarest.

摘要

关键临床信息

持续性低血压是腹腔神经丛毁损术的一种罕见并发症。了解接受腹腔神经丛毁损术（CPN）患者的主要和罕见并发症以及如何治疗这些并发症很重要。

摘要

腹腔神经丛毁损术是治疗肿瘤患者内脏腹痛的一种有效方法。虽然它很少有并发症，但可能会出现一些副作用。一名患有内脏腹痛的患者在进行腹腔神经丛毁损性阻滞以治疗顽固性疼痛后出现了长期直立性低血压，并接受了皮质类固醇治疗。我们描述了一种罕见并发症及其治疗方法，并强调了制定罕见并发症管理和治疗指南的重要性。我们还建议告知每位患者有关并发症的情况，从最常见的到最罕见的。