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一例罕见顶骨血管瘤病例的麻醉管理与注意事项

Anesthetic Management and Considerations in a Rare Case of Parietal Bone Hemangioma.

作者信息

Koenig Nicholas, Bowers Marcus, Kohli Arpan

机构信息

Anesthesiology, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2024 May 11;16(5):e60098. doi: 10.7759/cureus.60098. eCollection 2024 May.

DOI:10.7759/cureus.60098
PMID:38860097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11164296/
Abstract

Parietal bone hemangiomas represent a minority of diagnosed brain tumors. These lesions require careful management under anesthesia due to their vascularity and cranial location. We discuss a 31-year-old female with chronic headaches who underwent surgery for the removal of a large parietal bone hemangioma, necessitating considerations for stable hemodynamics, intracranial pressure (ICP), and bleeding risks. There is no standard anesthetic for these cases, so a mixed anesthetic approach was used, combining intravenous anesthesia with sevoflurane, aimed at optimizing control during the procedure.

摘要

顶骨血管瘤占已诊断脑肿瘤的少数。由于这些病变的血管性质和颅骨位置，在麻醉下需要谨慎处理。我们讨论了一名31岁患有慢性头痛的女性，她接受了手术以切除一个大型顶骨血管瘤，这需要考虑稳定的血流动力学、颅内压（ICP）和出血风险。对于这些病例没有标准的麻醉方法，因此采用了混合麻醉方法，将静脉麻醉与七氟醚相结合，旨在在手术过程中优化控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f3/11164296/fae7b840561b/cureus-0016-00000060098-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f3/11164296/e6864001f716/cureus-0016-00000060098-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f3/11164296/fae7b840561b/cureus-0016-00000060098-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f3/11164296/e6864001f716/cureus-0016-00000060098-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52f3/11164296/fae7b840561b/cureus-0016-00000060098-i02.jpg

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本文引用的文献

1
Primary Intraosseous Cavernous Hemangioma of the Cranium: A Systematic Review of the Literature.颅骨原发性骨内海绵状血管瘤：文献系统回顾。
World Neurosurg. 2022 Aug;164:323-329. doi: 10.1016/j.wneu.2022.05.107. Epub 2022 May 30.
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Surgical Treatment of Aggressive Intraosseous Cavernous Hemangioma in Maxilla Through Surgical Resection.通过手术切除治疗上颌骨侵袭性骨内海绵状血管瘤
J Craniofac Surg. 2020 Jul-Aug;31(5):e445-e448. doi: 10.1097/SCS.0000000000006382.
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Primary Intraosseous Cavernous Hemangioma in the Skull.颅骨原发性骨内海绵状血管瘤
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