颈椎爆裂性骨折术后高位截瘫患者行巨大甲状腺肿物切除术的麻醉与围术期管理  

Anesthesia and perioperative management of a patient presenting with high paraplegia following cervical vertebral burst fracture surgery undergoing resection of huge thyroid tumor

作　　者：张斌[1] 张杨[1] 王东信[2] 王亚旭[3] 贾珍[4] 黄河 张艳[6] 薛张纲 王天龙[8] Zhang Bin;Zhang Yang;Wang Dongxin;Wang Yaxu;Jia Zhen;Huang He;Zhang Yan;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Tianjin Fourth Center Hospital,Tianjin 300140,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of General Surgery,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Anesthesiology,Qinghai University Affiliated Hospital,Xining 810000,China;Department of Anesthesiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]天津市第四中心医院麻醉科,天津300140 [2]北京大学第一医院麻醉科,北京100034 [3]重庆医科大学附属第二医院普外科,重庆400010 [4]青海大学附属医院麻醉科,西宁810000 [5]重庆医科大学附属第二医院麻醉科,重庆400010 [6]首都医科大学宣武医院神经内科,北京100053 [7]复旦大学附属中山医院麻醉科,上海200032 [8]首都医科大学宣武医院麻醉手术科,北京100053

出　　处：《中华麻醉学杂志》2023年第4期493-496,共4页Chinese Journal of Anesthesiology

摘　　要：一、病历介绍1.病史摘要(1)一般情况:患者,女性,年龄66岁。因"发现甲状腺肿物2年半,憋气半年,加重2个月"入院。入院前2年半体检时发现甲状腺肿物,间断复查发现其缓慢增大,半年前出现憋气症状并进行性加重,近2个月加重明显。超声检查示:甲状腺肿大,甲状腺左叶结节TI-RADS 4a级,甲状腺右叶多发结节TI-RADS 3级。

关 键 词：甲状腺肿物 甲状腺右叶 进行性加重 高位截瘫 病史摘要 爆裂性骨折 甲状腺肿大 左叶 

分 类 号：R614[医药卫生—麻醉学]