术中唤醒在颈动脉体瘤手术中的应用

• 作 者: 陈林 米娜瓦尔·热扎克
• 机 构: 新疆医科大学第一附属医院麻醉科,新疆医科大学第一附属医院麻醉科 830054,830054
• 出 处: 新疆医学
• 发表日期: 2006年05期
• 关键词: 颈动脉体瘤手术 神经压迫 颈动脉切除 颈总动脉 化学感受器瘤 颈内动脉 分叉部 手术时间 侧支循环代偿 脑缺血性损害

颈动脉体瘤是比较少见的化学、压力感受器肿瘤,又称化学感受器瘤或非嗜铬性副神经节瘤。它包绕着颈总动脉分叉部位并累及颈内、颈外动脉,致使病人出现脑供血不足及神经压迫等症状。自1889年Edwardalbert首次手术切除颈动脉体瘤以来,手术已成为颈动脉体瘤首选治疗方法。2004年1月～2005年9月间,我院共对10例颈动脉体瘤患者实施手术。由于颈动脉体瘤的解剖位置和生理、病理特点,在麻醉处理上有一定的特殊性,现报告如下。

Carotid body tumors are relatively rare chemical, baroreceptor tumors, also known as chemoreceptor tumors or non-chromatid paraganglioma. It surrounds the common carotid artery bifurcation site and involves the internal carotid and external carotid arteries, causing the patient to have symptoms such as cerebral insufficiency and nerve compression. Since Edward Halbert first surgically resected carotid body tumor in 1889, surgery has become the preferred treatment for carotid body tumors. From January 2004 to September 2005, a total of 10 patients with carotid body tumors were operated in our hospital. Due to the anatomic location, physiological and pathological features of carotid body tumors, there are certain specialities in anesthetic treatment. The report is as follows.