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目的探讨右心房脉管平滑肌瘤手术期间的麻醉处理。方法总结4例延至右心房的脉管平滑肌瘤切除手术的麻醉要点。结果患者均在全麻复合体外循环下顺利完成手术,痊愈出院。结论术前全面正确掌握该类患者手术期间的病理生理变化、术中严密监测、合理应用血管活性药物、维持围术期血流动力学稳定是麻醉处理的关键。
Objective To investigate the anesthesia during the operation of right atrial vascular smooth muscle tumor. Methods A total of 4 cases of vasculoma leiomyoma extension to the right atrium were anesthetized. Results All patients underwent successful surgery under general anesthesia combined with cardiopulmonary bypass and recovered. Conclusion The preoperative comprehensive and correct understanding of the pathophysiology of such patients during surgery, close monitoring, rational use of vasoactive drugs, to maintain perioperative hemodynamic stability is the key to anesthesia.