病例报告：以坏死性游走性红斑为特征症状的胰高血糖素瘤手术治疗的麻醉管理
Case report: Anesthesia management for surgical treatment of glucagonoma with symptom of characterized necrolytic migratory erythema.
作者信息
Xia Di, Shen Le
机构信息
Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
出版信息
Front Oncol. 2024 Dec 19;14:1408506. doi: 10.3389/fonc.2024.1408506. eCollection 2024.
BACKGROUND
The anesthetic management of patients with glucagonoma is complicated by a number of factors including glucose fluctuation, characterized necrolytic migratory erythema in oral and pharyngeal, which may lead to an unexpected difficult airway.
CASE PRESENTATION
Herein we describe the anesthetic considerations and management of a 47-year-old adult with glucagonoma, who presented for a laparoscopic splenectomy and distal pancreatectomy procedure.
CONCLUSION
This report details fiberoptic intubation in an adult with glucagonoma and necrolytic migratory erythema. We recommend that this approach be considered in patients with glucagonoma and severe necrolytic migratory erythema undergoing general anesthesia.
背景
胰高血糖素瘤患者的麻醉管理因多种因素而变得复杂，包括血糖波动，其特征为口腔和咽部出现坏死性游走性红斑，这可能导致意外的困难气道。
病例介绍
在此，我们描述了一名47岁患有胰高血糖素瘤的成年人的麻醉注意事项和管理，该患者接受了腹腔镜脾切除术和远端胰腺切除术。
结论
本报告详细介绍了一名患有胰高血糖素瘤和坏死性游走性红斑的成年人的纤维支气管镜插管。我们建议，对于接受全身麻醉的患有胰高血糖素瘤和严重坏死性游走性红斑的患者，应考虑采用这种方法。
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