上腔静脉综合征麻醉抢救及管理一例

发布时间：2018-11-27 15:26

【摘要】：正患者,男,70岁,167cm,64kg。因"反复头晕、耳鸣14年,加重伴心慌、呼吸困难半月"入院。术前诊断:(1)颈部肿物:性质待诊;(2)多处淋巴结肿大:淋巴瘤?(3)高血压3级(极高危)、高血压心脏病、慢性心功能不全;(4)位置性眩晕;(5)脑动脉硬化、脑血管供血不足;(6)双鼻窦囊肿。拟在全身麻醉下行"颈部肿物切除活检术"。术前颈胸部CT示:左颈根部、胸廓入口处占位,双下颌、腋窝、颈部多发结节(颈部
[Abstract]:The patient, male, 70 years old, was 167cm, 64kg. Because "repeated dizziness, tinnitus 14 years, aggravated with panic, dyspnea half month" admission. Preoperative diagnosis: (1) cervical mass: nature to be examined; (2) multiple lymphadenopathy: lymphoma? (3) hypertension grade 3 (very high risk), hypertensive heart disease, chronic heart failure, (4) positional vertigo; (5) cerebral arteriosclerosis, cerebral vascular insufficiency, (6) double sinuses cyst. Cervical mass excision and biopsy are to be performed under general anesthesia. Preoperative cervical and thoracic CT showed: left cervical root, thoracic entrance, bilateral mandible, axillary, neck multiple nodule (neck)
【作者单位】：成都大学附属医院麻醉科;
【分类号】：R614

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