Low-grade endometrial stromal sarcoma (LG-ESS) is a rare uterine malignancy, accounting for less than 1% of all uterine malignancies. And there is no literature reporting about acute obstruction of inferior vena cava (IVC) caused by LG-ESS. In November 2021, A patient diagnosed with LG-ESS was admitted to our hospital, presenting with pitting edema of the right lower limb, menstrual disturbance, nausea, oliguria andincreased serum creatinine. Imaging suggested complete obstruction of IVC cava. This difficult case was successfully treated with staging surgery combined with endocrine therapy by a cooperative multidisciplinary team (MDT). The important role of MDT in the treatment process of such a difficult and serious case was demonstrated.

总结8例心脏原发的嗜铬细胞瘤患者施行根治手术的护理配合。术前做好术前访视和物品、特殊器械以及手术间的准备工作;术中维持患者体温的相对恒定,以促进术后机体的恢复和伤口的愈合;保持患者的皮肤完整性,避免压伤;注意维持出入量平衡,以免引起肺水肿及心衰。本组8例患者均在低温体外循环下施行心脏嗜铬细胞瘤根治术,手术顺利,无围术期死亡,无严重的并发症。