Hoile R W
Ann R Coll Surg Engl. 1976 Sep;58(5):393-7.
Whatever their nature, large intra-abdominal tumours interfere with respiratory and circulatory function by producing elevation and splinting of the diaphragm and partial occlusion of the inferior vena cava. The main hazards involved in removing such tumours are consequences of abdominal decompression, which may produce a labile cardiovascular state, respiratory difficulties, and rapid intestinal distension. A knowledge of the deranged physiology and its management may avert these complications. Careful preparation, modification of anaesthetic technique, postoperative ventilation, and external abdominal compression are important. To illustrate the discussion two cases of large ovarian cysts are described.
无论其性质如何，腹腔内大肿瘤都会通过抬高和固定膈肌以及部分阻塞下腔静脉来干扰呼吸和循环功能。切除此类肿瘤所涉及的主要风险是腹部减压的后果，这可能会导致心血管状态不稳定、呼吸困难和快速的肠扩张。了解紊乱的生理状况及其处理方法可以避免这些并发症。精心准备、调整麻醉技术、术后通气和腹部外部压迫都很重要。为说明讨论内容，描述了两例大卵巢囊肿病例。
