巨大甲状腺肿瘤致负压性肺水肿患者的麻醉与围术期管理  

Anesthesia and perioperative management of an elderly patient with negative pressure pulmonary edema caused by giant thyroid tumor

作　　者：吴倩[1] 魏珂[1] 徐慆 王锷[3] 贾慧群[4] 马武华[5] 王晟 李静[7] 王朝东[8] 薛张纲 王天龙[10] Wu Qian;Wei Ke;Xu Tao;Wang E;Jia Huiqun;Ma Wuhua;Wang Sheng;Li Jing;Wang Chaodong;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,The First Afiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Breast and Thyroid Surgery,The First Afiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 05001l,China;Department of Anesthesiology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Anesthesiology,Beijing Anzhen Hospital,Capital Medical University,Bejing 100029,China;Department of Geriatrics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Bejing 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]重庆医科大学附属第一医院麻醉科,重庆400016 [2]重庆医科大学附属第一医院乳腺甲状腺外科,重庆400016 [3]中南大学湘雅医院麻醉科,长沙410008 [4]河北医科大学第四医院麻醉科,石家庄050011 [5]广州中医药大学第一附属医院麻醉科,广州510405 [6]首都医科大学附属北京安贞医院麻醉科,北京100029 [7]首都医科大学宣武医院老年医学科,北京100053 [8]首都医科大学宣武医院神经内科,北京100053 [9]复旦大学附属中山医院麻醉科,上海200032 [10]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》2024年第10期1258-1261,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄76岁。因"发现颈部包块30年,明显增大6个月"入院。30年前患者自行扪及左侧颈部一大小约3 cm包块,无声音嘶哑、低沉、饮水呛咳、呼吸困难等不适,期间包块缓慢长大,未予以重视。6个月前患者及家属发现包块较前明显增大,伴声音嘶哑,活动时喘累、偶呼吸困难。为进一步治疗收治入院。

关 键 词：左侧颈部 病史摘要 声音嘶哑 呼吸困难 颈部包块 患者及家属 围术期管理 巨大甲状腺肿瘤 

分 类 号：R736.1[医药卫生—肿瘤] R614[医药卫生—临床医学]