论文部分内容阅读
目的:探讨颈静脉球体瘤切除术的麻醉管理特点。方法回顾性分析2006年1月至2014年5月13例颈静脉球体瘤患者行肿瘤切除手术的围术期资料。结果13例患者麻醉过程均平稳。平均手术时间(7.23±3.49)h,最大失血量为1100 ml,最大输注浓缩红细胞量为4 U;1例坐位患者术中出现空气栓塞,通过中心静脉导管抽气后缓解;1例患者术中吸引头误吸面神经,术后出现面神经永久性损伤。结论麻醉前全面仔细地评估患者病情,监测血浆儿茶酚胺含量,选择适当的麻醉方法,合理使用肌肉松弛剂,适当地控制性降压,积极进行颅神经功能监测,及时发现气栓、失血和神经损伤并及时处理,是颈静脉球体瘤手术切除术中麻醉管理的重点。“,”Objective To explore the characteristics of anesthetic management in patients undergoing glomus jugular tumor resection. Methods The clinical data of 13 patients with glomus jugulartumor underwent surgery in our hospital from May 2006 to May 2014 were reviewed retrospectively. Results All operations were accomplished successfully.The average duration of were(7.23 ±3.49)h,thegreatest blood loss was 1100 ml and the greatest blood transfusion was 4 units.Air embolism was found inone sitting patient,and was cleared through a central venous catheter.One patient appeared permanent facial paralysis after an uncareful sunction of the facial nerve.Conclusion Comprehensive preoperative evaluation,serum catecholamine surveillance,proper anesthetic method,reasonable muscle relaxation,appropriate controlled hypotension,active neurophysiological monitoring and timely detection and treatment ofembolism,blood loss and nerve damage are the key points of anesthetic management in patients undergoingglomus jugular tumor resection.