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[颈部颈动脉体瘤切除术后的长期生存情况]

[Long-term survival following excision of a neck carotid body tumor].

作者信息

Lizis Z

机构信息

Ze Szpitala Powiatowego, Sandomierzu.

出版信息

Pol Tyg Lek. 1994;49(16-17):382-3.

PMID:7708559
Abstract

Farmer with a jugular tumor on the right side and suffering from head and shoulder aches, and epileptic seizures during sleep was admitted to a district hospital and underwent surgery. Partial anesthesia was applied and neck vascular area exposed. Intraoperatively a tumor of plum size was seen which constricted carotid artery bifurcation with its branches. The pulse in the internal carotid artery was impalpable. Carotid artery was clamped, and conversation with the patient begun to find out whether no central and peripheral disorders were present. Next both tumor and artery bifurcation were totally excised. Patient survived 25 years following surgery, leading an active life in his farm. He died at the age of 68 years for pneumonia and circulatory failure without the signs of tumor recurrence.

摘要

一位右侧患有颈静脉瘤的农民,伴有头部和肩部疼痛,且睡眠中会癫痫发作,被收治到一家地区医院并接受了手术。采用局部麻醉,暴露颈部血管区域。术中可见一个李子大小的肿瘤,其压迫颈动脉分叉及其分支。颈内动脉搏动无法触及。夹住颈动脉后,开始与患者交谈以确定是否存在中枢和外周神经系统紊乱。接下来将肿瘤和动脉分叉一并完全切除。患者术后存活了25年,在农场过着积极的生活。他68岁时因肺炎和循环衰竭去世,未出现肿瘤复发迹象。

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