原发性心脏肿瘤手术的麻醉处理

Anesthesia processing of primary cardiac tumors surgery.

目的探讨原发性心脏肿瘤手术的麻醉处理。方法对137例原发性心脏肿瘤手术患者的麻醉处理情况进行分析,其中左房黏液瘤占77.37%,右房黏液瘤占8.03%。所有患者均为开胸手术,术前进行麻醉评估。结果 5例左房黏液瘤以及1例二尖瓣黏液瘤患者麻醉诱导时发生血流动力学改变,其中1例左房黏液瘤患者心搏骤停,其余患者未见异常。结论原发性心脏肿瘤患者麻醉前应加强评估,并选择合理的麻醉药,避免血流动力学结果发生剧烈波动。

Objective To discuss the anesthesia processing of primary cardiac tumors.Methods 137 primary cardiac tumor patients,mainly including of 106 cases（77.37%） with left atrial myxoma and 11cases（8.03%） with right atrial myxoma,were undergone thoracic surgery and the anesthesia evaluation were carried out before surgery.Results 1 case with left atrial myxoma occurred cardiac arrest,4 cases with left atrial myxoma and 1 case with mitral valve myxoma occurred hemodynamic changes during induction of anesthesia.Other patients were normal during induction of anesthesia.Conclusion Evaluation before anesthesia should be strengthened on the patients with primary cardiac tumor,and reasonable anesthetic should be selected to avoid the dramatic fluctuations of blood flow.