Naloxone and after general anesthesia for good Sulun wake case of pulmonary edema induced.doc

 PAGE \* MERGEFORMAT 6 Naloxone and after general anesthesia for good Sulun wake case of pulmonary edema induced [Keywords:] good Sulun wake pulmonary edema after Our department in March 2007 for general anesthesia for the case when pulmonary edema after wake, turned the corner by active treatment of patients, are as follows. Case Introduction Patients, female, 51 years old, weighing 45 kg. Goiter was found 6 months on March 16, 2007 admission. Admission diagnosis: thyroid adenoma, hyperthyroidism. Patients have a history of hypertension for 10 years. Had 9, 2006 months because of “hyperthyroidism, adrenal tumors, type 2 diabetes, secondary hypertension,” hospital treatment. CT examinations showed: bilateral adrenal outside, collateral and triangular thickening, consider the double enlargement of the adrenal cortex and the left side of adenoma formation ( 8 mm 8 mm, outside the hospital in November the same year down the left laparoscopic adrenalectomy, after diagnosed as “slightly addicted to cell tumor.” patients after blood pressure returned to normal. The admission examination: BP120/70 mmHg, cardiac examination was normal, blood is normal. Serum FT33.65 mmol / L, TT4196.76 nmol / L, FT418.7 pmol / L, TSH 0.01 mIu / L. Thyroid 131I intake rate increased. blood glucose 6.3 mmol / L, serum electrolytes, liver and kidney function was normal. ECG: normal ECG. thyroid B-: diffuse thyroid enlargement. chest X-ray: right upper lung old lesions. Luge Shi preoperative oral fluid, propranolol, long-acting nifedipine and other drugs treatment. blood pressure control in the 120 ~ 150/70 ~ 110 mmHg, HR 75 ~ 100 times / min .2007 23 March endotracheal intubation in patients under the subtotal thyroidectomy. burglary, blood pressure was 132 / 74 mmHg, HR 82 beats / min. followed by midazolam 3 mg, etomidate 10 mg, atracurium 50 mg, 0.2 mg fentanyl rapidly after successful intubation. with continuous infusion of propofol, fentanyl, isoflurane, intermittent int