中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
11期
169-169
,共1页
儿童肾母细胞瘤肾摘除术%麻醉管理%麻醉关注点
兒童腎母細胞瘤腎摘除術%痳醉管理%痳醉關註點
인동신모세포류신적제술%마취관리%마취관주점
Children nephroblastoma resection%Anesthesia management%Anesthesia concerns
目的:对儿童肾母细胞瘤肾摘除术的麻醉特殊性及其关注点进行分析与探讨。方法选取18例2004年1月~2014年12月我院确诊为肾母细胞瘤且其对行肾母细胞瘤摘除术治疗的患儿,分析总结患儿手术治疗、麻醉管理等措施。结果17例患儿顺利通过手术治疗,1例患儿在手术过程中心率、血压下降,继而转至重症手术室抢救。结论研究表明,在对患儿实施肾母细胞瘤肾摘除手术治疗中,翻动与分离肿瘤时为麻醉主要关注点,对患儿下腔静脉行间断性压迫会引发低血压与大出血风险。
目的:對兒童腎母細胞瘤腎摘除術的痳醉特殊性及其關註點進行分析與探討。方法選取18例2004年1月~2014年12月我院確診為腎母細胞瘤且其對行腎母細胞瘤摘除術治療的患兒,分析總結患兒手術治療、痳醉管理等措施。結果17例患兒順利通過手術治療,1例患兒在手術過程中心率、血壓下降,繼而轉至重癥手術室搶救。結論研究錶明,在對患兒實施腎母細胞瘤腎摘除手術治療中,翻動與分離腫瘤時為痳醉主要關註點,對患兒下腔靜脈行間斷性壓迫會引髮低血壓與大齣血風險。
목적:대인동신모세포류신적제술적마취특수성급기관주점진행분석여탐토。방법선취18례2004년1월~2014년12월아원학진위신모세포류차기대행신모세포류적제술치료적환인,분석총결환인수술치료、마취관리등조시。결과17례환인순리통과수술치료,1례환인재수술과정중심솔、혈압하강,계이전지중증수술실창구。결론연구표명,재대환인실시신모세포류신적제수술치료중,번동여분리종류시위마취주요관주점,대환인하강정맥행간단성압박회인발저혈압여대출혈풍험。
ObjectiveTo investigate the anesthetic particularity and anesthetic considerations of the childrens nephroblastoma (Wilms’tumor) resection.Methods By retrospective analysis the 18 patient's medical records who had been diagnosed Wilms’tumor and received surgical treatment from January 2004 to December 2014 in our hospital, analyzed and summarized the children surgery, anesthesia management and other measures.Results Seventeen patients finished the tumor resection under general anaesthesia, one patient carried out cardio-pulmonary resuscitation for severe hypotension and then carried to SICU.ConclusionThe study showed that the main anesthetic considerations of Wilms’tumor resection are severe hypotension, bleeding and potential when removing and turning over the tumor.