头颈部复杂副神经节瘤切除术后发生压力反射衰竭综合征1例  

Baroreflex failure syndrome after the resection of complex paragangliomas of head and neck:a case report

作　　者：吴南[1,2,3,4,5] 王国建 申卫东[1,2,3,4,5] 戴朴 杨仕明[1,2,3,4,5] WU Nan;WANG Guojian;SHEN Weidong;DAI Pu;YANG Shiming(College of Otolaryngology-Head&Neck Surgery,PLA General Hospital,Beijing,100037,China;National Clinical Research Center for Otolaryngologic Disease;Department of Oto-Neurology&Skull Base,College of Otolaryngology-Head&Neck Surgery,First Medical Center,Chinese PLA General Hospital;State Key Lab of Hearing Science,Ministry of Education;Beijing Key Lab of Hearing Impairment Prevention&Treatment)

机构地区：[1]中国人民解放军总医院耳鼻咽喉头颈外科医学部,北京100037 [2]国家耳鼻咽喉疾病临床医学研究中心 [3]中国人民解放军总医院第一医学中心耳神经侧颅底外科 [4]聋病教育部重点实验室 [5]聋病防治北京市重点实验室

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第9期834-838,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：科技部国家重点研发计划(No:2022YFC2402700)。

摘　　要：颅神经保护是头颈部副神经节瘤(Paragangliomas)切除术的主要挑战之一,特别是对于同时发生在双侧的复杂副神经节瘤病例。本文报道了1例双侧颈静脉球瘤合并单侧颈动脉体瘤的病例,在分期切除双侧病灶后发生了压力反射衰竭综合征。这种并发症尚缺乏有效的治疗手段,制定谨慎而合理的治疗策略是降低其发生率的关键。Protection of cranial nerves is one of the major challenges in the resection of paragangliomas of head and neck,especially in complex paragangliomas.We report a case of bilateral jugular tumor with unilateral carotid body tumor.Baroreflex failure syndrome(BFS)occurred after staged resection of bilateral lesions.There is still a lack of effective treatment for this complication.More prudent and reasonable treatment strategy is important to reduce the incidence of BFS.

关 键 词：副神经节瘤 压力反射衰竭综合征 颈静脉球瘤 颈动脉体瘤 血压 

分 类 号：R739.4[医药卫生—肿瘤]