CAJ | 학술논문

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。
목적：탐토경정맥구체류절제술적마취관리특점。방법회고성분석2006년1월지2014년5월13례경정맥구체류환자행종류절제수술적위술기자료。결과13례환자마취과정균평은。평균수술시간（7．23±3．49）h，최대실혈량위1100 ml，최대수주농축홍세포량위4 U；1례좌위환자술중출현공기전새，통과중심정맥도관추기후완해；1례환자술중흡인두오흡면신경，술후출현면신경영구성손상。결론마취전전면자세지평고환자병정，감측혈장인다분알함량，선택괄당적마취방법，합리사용기육송이제，괄당지공제성강압，적겁진행로신경공능감측，급시발현기전、실혈화신경손상병급시처리，시경정맥구체류수술절제술중마취관리적중점。
Objective To explore the characteristics of anesthetic management in patients undergoing 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. Results 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 facial paralysis after an uncareful sunction of the facial nerve.Conclusion Comprehensive preoperative evaluation,serum catecholamine surveillance,proper anesthetic method,reasonable muscle relaxation,appropriate 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.