腮腺全葉切除術(shù)后急性頸髓損傷死亡一例
發(fā)布時(shí)間:2018-05-29 13:16
本文選題:腮腺區(qū) + 急性頸髓損傷 ; 參考:《臨床麻醉學(xué)雜志》2017年06期
【摘要】:正患者,男,69歲,75kg,因"發(fā)現(xiàn)右腮腺區(qū)腫物20余年,近期明顯增大"入院。吸煙50余年,有慢性支氣管炎病史,否認(rèn)其他慢性疾病史。輔助檢查:腮腺區(qū)CT提示右側(cè)腮腺內(nèi)腫塊影,疑為混合瘤可能性大;胸部X線(xiàn)片示右上肺第二肋重疊處小圓形高密度影。ECG及實(shí)驗(yàn)室檢查結(jié)果正常。完善術(shù)前準(zhǔn)備后擇期全麻下行"右側(cè)腮腺區(qū)腫物及腮腺全葉擴(kuò)大切除術(shù)+面神經(jīng)松解減壓術(shù)+鄰近組織瓣轉(zhuǎn)移修復(fù)
[Abstract]:The patient, 69 years old and 75 kg, was admitted to hospital because of "20 years of right parotid gland tumor found." Smoking more than 50 years, have a history of chronic bronchitis, deny other chronic disease history. Adjuvant examination: Ct in parotid region showed the right parotid gland mass shadow, suspected mixed tumor was more likely, chest X-ray showed small circle high density shadow at the second rib overlap of right upper lung. ECG and laboratory examination results were normal. "right parotid area tumor and parotid total lobectomy with decompression of facial nerve release and decompression adjacent to tissue flap metastasis and repair after complete preoperative preparation and selective general anesthesia" right parotid gland area mass and parotid total lobectomy
【作者單位】: 南昌大學(xué)第一附屬醫(yī)院麻醉科;
【分類(lèi)號(hào)】:R614
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