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艾森曼格综合征患者行颈动脉体瘤切除术的麻醉。病例报告。

Anaesthesia for carotid body tumour resection in a patient with the Eisenmenger syndrome. A case report.

作者信息

Kraayenbrink M A, Steven C M

出版信息

Anaesthesia. 1985 Dec;40(12):1194-7. doi: 10.1111/j.1365-2044.1985.tb10658.x.

Abstract

A patient with the Eisenmenger syndrome presented for removal of a carotid body tumour under general anaesthesia. The presentation and management of the case are described and some of the anaesthetic problems associated with these two uncommon conditions are discussed. The case is reported because of its rarity and because some of the complications of carotid body surgery may be particularly hazardous in the presence of the Eisenmenger syndrome. The importance of monitoring, of maintaining a stable heart rate and blood volume, and the danger of paradoxical systemic air embolism are stressed.

摘要

一名患有艾森曼格综合征的患者在全身麻醉下接受颈动脉体瘤切除手术。本文描述了该病例的临床表现及处理过程,并讨论了与这两种罕见病症相关的一些麻醉问题。报告此病例是因其罕见性,以及在艾森曼格综合征患者中,颈动脉体手术的某些并发症可能具有特别的危险性。文中强调了监测、维持稳定心率和血容量的重要性,以及反常性系统性空气栓塞的危险性。

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