前纵隔肿块患者的麻醉
- Authors
- Javier Lasala, MD
Javier Lasala, MD
- Assistant Professor
- The University of Texas MD Anderson Cancer Center
- Ron Purugganan, MD
Ron Purugganan, MD
- Professor of Anesthesiology and Perioperative Medicine
- Professor of Thoracic and Cardiovascular Surgery
- The University of Texas MD Anderson Cancer Center
- Section Editor
- Peter D Slinger, MD, FRCPC
Peter D Slinger, MD, FRCPC
- Section Editor — Thoracic/Vascular Anesthesia
- Professor of Anesthesia
- Toronto General Hospital
- Deputy Editor
- Nancy A Nussmeier, MD, FAHA
Nancy A Nussmeier, MD, FAHA
- Deputy Editor — Anesthesiology
- Department of Anesthesia, Critical Care, and Pain Medicine
- Massachusetts General Hospital
- Translators
- 叶西就, 副主任医师
叶西就, 副主任医师
- 中山大学孙逸仙纪念医院麻醉科
引言
纵隔肿块可以体积较小、生长缓慢、无症状，也可以体积较大、有侵袭性、有症状(图 1和表 1)。本专题将讨论接受用于诊断或治疗的手术操作(例如活检或切除)的前纵隔肿瘤患者的麻醉管理。对患者的麻醉前评估、术中麻醉管理和术后早期治疗也将进行讨论。
纵隔肿块的初始评估将单独讨论。 (参见“纵隔肿块的评估”)
麻醉前评估
麻醉前会诊的主要目的是评估下列原因引起气道或呼吸功能损害和/或血流动力学不稳定的风险：
●对气道和肺的占位效应。
●对主要的心血管结构及循环的占位效应。
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