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Patients with carotid body tumor Perioperative
PAGE \* MERGEFORMAT 16
Patients with carotid body tumor Perioperative
【Abstract】 Objective To investigate the carotid body tumor perioperative treatment. Methods A retrospective analysis from 1983 to 2005 in our hospital between 10 cases of carotid body tumor patients in the perioperative period approach. 8 cases with 1% lidocaine 0.375% bupivacaine neck neural branch block, and 2 cases with 1% lidocaine 0.25% bupivacaine before carotid nerve branch block. Results 10 cases of carotid body tumor surgery options nerve block anesthesia, no severe complications. Conclusion smaller carotid body tumor choices nerve block anesthesia for surgery is safe, but the full line of carotid artery surgery anesthesia training is a prerequisite for success.
Keywords: Carotid body tumor of perioperative nerve block anesthesia
0 Introduction
Carotid body tumor is a kind of originated in the common carotid artery bifurcation of membrane receptors in the tumor, also known as chemodectoma (Chemodectoma) or paraganglioma (Paragangliona). Glomus tumor is a tumor, there are a large number of micro-arterial venous fistula and perioperative management of the complex. Are summed up in our hospital from 1983 to 2005 and complete data of 10 cases of carotid body tumor in patients with perioperative treatment methods, the report is as follows:
1 Data and methods
The group of 10 patients, 7 males and 3 females, mean age of 47.5 ± 2.8 years. 7 cases the tumor on the right, left in 3 cases, tumor size 2.8cm × 3cm × 4cm ~ 4.7cm × 6cm × 6cm between. Surgical methods: tumor resection alone in 5 cases, tumor resection combined external carotid artery in 1 case, tumor-common carotid artery ligation, together with the carotid artery bifurcation resection in 4 cases, all tumors were confirmed by pathology of carotid body tumor, operative time 90 ~ 230min. Dardik et al [1] reported that Johns Hopkings Medical Center from 1990 to 2000 of carotid body tumor in 25
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