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目的 :探讨治疗颈动脉体瘤 ,预防术中致命大出血的有效方法。方法 :对 10例颈动脉体瘤患者 ,经颅多普勒脑血流检测 (TCD)及术前颈动脉压迫训练 ,在清醒麻醉下行选择性颈动脉阻断或切除手术治疗颈动脉体瘤。术中全部夹闭颈总动脉 2h以上 ,切除颈总动脉 4例 ;分离切除肿瘤 6例 ,保留颈总动脉。结果 :10例均无手术死亡及其它中枢神经系统并发症发生。随访 5年均健在。结论 :颈动脉压迫训练 ,TCD检测及术中清醒麻醉 ,可以对选择性颈动脉阻断或切除起到充分的监督作用
Objective: To explore an effective method to treat carotid body tumor and prevent intraoperative fatal hemorrhage. Methods: Ten patients with carotid body tumor, transcranial Doppler cerebral blood flow test (TCD) and preoperative carotid compression training, under conscious anesthesia under the selective carotid artery occlusion or resection of the carotid body tumor. Intraoperative clamping of the common carotid artery more than 2h, 4 cases of common carotid artery resection; resection of the tumor in 6 cases, to retain the common carotid artery. Results: None of the 10 patients had operative death and other central nervous system complications. All patients were followed up for 5 years. CONCLUSIONS: Carotid compression training, TCD detection and intraoperative conscious anesthesia can fully monitor selective carotid artery occlusion or resection