Anesthetic management of insulinoma surgery in 3 c -

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Anesthetic management of insulinoma surgery in 3 cases

A reasonable choice of anesthesia not only to minimize the impact on glucose metabolism in vivo, but also to reduce radon brain metabolism, reduce the need for brain glucose pool while insulinoma tumor small, deep, abdominal surgery requires a good orange t surgical field relaxation exposed to the full. Epidural block can meet the operation requirements if incomplete, often due to surgical stimulation can cause reflex t pan pressure decreased, heart rate slows, nausea and vomiting if the block was too broad, can cause respiratory depression, blood pressure it to light with tracheal intubation and appropriate use of muscle relaxant drugs used by our blind vinegar, rapid induction of fentanyl, a procaine complex enflurane inhalation anesthesia to maintain Taiwan has achieved satisfactory results according to squint vinegar, Fentanyl had no effect on blood glucose metabolism in several intravenous procaine anesthesia safe, effective, simple and light anesthesia that can tolerate the endotracheal tube. Enflurane decreases cerebral oxygen metabolism strong, enflurane inhalation 3VOL can reduce cerebral oxygen metabolism in 50,[link widoczny dla zalogowanych], easy to adjust depth of anesthesia,[link widoczny dla zalogowanych], there are reports of enflurane inhibit insulin release. But should also note that enflurane increases insulin sensitivity and procaine Recovering and use of muscle relaxants can reduce the amount of enflurane, enflurane reduce side effects. Anesthesia fast and smooth, no accumulation of oxygen and carbon dioxide to increase the performance of ketamine on cerebral oxygen metabolism, blood Qiang metabolism of a large selection of anesthetic would not be appropriate 2. Monitoring of blood glucose: insulin tumor during surgery, blood glucose in the detection of high volatility,[link widoczny dla zalogowanych], extrusion, and resection of the tumor, a large release of insulin in human blood, and often can occur short of serious low blood Tong Ang; tumor resection, the source of disruption t insulin the pituitary adrenal system hormones increase insulin resistance, elevated blood sugar often fall in this group three patients, and compared with that before anesthesia, exploration resection of the tumor significantly reduced, rebounded after the removal of the tumor, but were within the normal range 4. Insulinoma respiratory and circulatory management during anesthesia should be to ensure the effective television epilepsy in 1 case of Chongqing Municipal People's Hospital Shaping {Bay Area (630,037) Zhang Liming patients, female, 9 and more students a year to start watching TV every time, such as fine-tuning adjustment more than 2 minutes screen image does not appear, then there is the whole body pod seizure, loss of consciousness, eye gaze upward, vomit bubble, 3 to 4 minutes after the convulsions stopped Dan - 1 to 2 hours then sleep, wake up no memory after the attack . 9 Department of recurrent attack that first-born full-term birth, the mother denied a history of trauma during pregnancy normal and no family history of epilepsy carbuncle examination: Good general condition, medical and neurological examination no abnormal signs. Electroencephalogram (EEG), moderately abnormal, and the basic rhythm of 8 ~ 10c / s, over-breathing, see the lead paroxysmal high amplitude 4 ~ 6c/sQ crossing epilepsy diagnosed television carbuncle,[link widoczny dla zalogowanych], given phenytoin O. I, 2 times a day, up for 6 months without fat ashamed to discuss: TV epilepsy, epilepsy carbuncle is a kind of light. Monitor power system or adjust the TV screen when pressed induced epilepsy more common in children and adolescents and carbuncle to epilepsy grand mal seizure or more also showed the limitations of a small minority of patients can attack was successful episodes of syncope dirty halo of the disease generally has no positive signs may be abnormal EEG or flash t hyperventilation attack can occur when the wave stimulus payment, to the universality of rhythm and spike and wave common spine treatment of carbuncle with other epilepsy same few episodes back who can not treat the department 9 years old onset of symptoms of female sexual t t t Ba board of repetitive, each time by 2 minutes fine-tuning adjustment screen TV image does not appear induced by, a typical EEG changes, combined with effective treatment so the TV t carbuncle diagnosed epilepsy established, its pathogenesis Che addition to its own light feel sting, but also may be related to stress, anxiety, epilepsy carbuncle heard when the decreased value of l 1 case of congenital absence of the report gallbladder Chongqing Ninth People's Hospital Surgery (630 700) Shu-Sheng Chen Longyi with congenital cystic of absence is rare, lO years in our hospital to cholecystectomy nearly 2,000 down, surgery is only found in l false. Are as follows. T56-year-old female patient, with abdominal discomfort lo years on a year earlier, t medical examination found that gallstone See 1.Icm light group with acoustic shadow, Chuai bag still less clear outline of the common bile duct diameter 0.4cmt t the two B-were diagnosed as gallbladder stones, gallbladder contraction for the Aged Day 8 intraoperative see the normal liver size, texture soft, and no other abnormalities; not found in the gallbladder fossa gallbladder, hand carefully touched palpable liver, gallbladder without intrahepatic stones or a sense of feeling. Anatomy of hepatoduodenal ligament see common bile duct diameter,[link widoczny dla zalogowanych], hepatic duct acts found no atrophy or small gallbladder other organs without exception, is termination of surgery, postoperative bowel preparation line l2 days after the review of B-, without intrahepatic gallbladder to be found

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