Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report.
Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report.
复制标题
DOI：
10.4097/kjae.2015.68.1.78
复制
发表时间：
2015-02
影响因子：
2.9
通讯作者：
Sohn JT
中科院分区：
文献类型：
--
作者：
Gil NS;Han JY;Ok SH;Shin IW;Lee HK;Chung YK;Sohn JT
肾素瘤是一种罕见的良性分泌肾素的肾小球细胞肿瘤，可引起年轻患者继发性高血压。这种高血压通过肿瘤切除治疗。除了血浆肾素和血管紧张素I和II水平升高外，一名19岁女性肾素瘤患者入院后的其他体格检查、实验室检查和心电图均在正常范围内。对于经皮计算机断层扫描引导的射频消融术，使用硫喷妥钠和罗库溴铵诱导全身麻醉，并使用司氟醚（2-4 vol%）和氧气维持。手术顺利结束，血流动力学稳定。然而，患者主诉术后5小时坐立时头晕，诊断为低血压。在30分钟内积极输注生理盐水（1 L）后，低血压得到纠正，患者恢复，无任何其他手术并发症。在这里，我们报告了一位接受经皮计算机断层扫描引导下射频消融治疗原发性肾细胞瘤的患者的麻醉管理，特别关注术后低血压。
A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.