期刊文献+

儿童肾上腺嗜铬细胞瘤7例临床分析

原文传递
导出
摘要 目的探讨儿童嗜铬细胞瘤的临床特点及其诊断和治疗方法。方法回顾性分析7例经手术治疗的儿童肾上腺嗜铬细胞瘤患者的临床资料。结果7例忠儿均有典型高血压的临床表现,伴有高血压眼底病变2例,高血压脑病1例;单例肿瘤4例,双侧3例。7例均行手术顺利切除肿瘤,其中1例经腰部11肋间切口、6例经腹部切口入路。术后病理均证实为嗜铬细胞瘤,其中良性6例。恶性1例。随访1-5年,均未见复发。结论儿童嗜铬细胞瘤临床高血压症状较重,常伴有高血压眼底病变和脑病,肿瘤多发性比例高,需进行相应的检查以确诊。手术切除肿瘤是根本的治疗方法,围手术期的妥善处理、采用合适的手术径路、术中维持血压平稳是手术成功的关键。
出处 《中国综合临床》 北大核心 2008年第1期83-85,共3页 Clinical Medicine of China
  • 相关文献

参考文献8

  • 1Benn DE, Dwight T, Richardson AL, et al. Sporadic and familial pheochromocytomas are associated with loss of at least two discrete intervals on chromosome lp[ J]. Cancer Res,2000,60(24) :7048- 7051.
  • 2Ross JH. Pheochromocytoma. Special considerations in children [J]. Urol Clin North Am,2000,27(3) :393-402.
  • 3徐卯升,耿红全,谢华,励楚刚,陈方.特殊的儿童嗜铬细胞瘤4例报告[J].中华小儿外科杂志,2006,27(5):228-230. 被引量:2
  • 4Weise M, Merke DP, Pacak K, et al. Utility of plasma free metanephrines for detecting childhood pheoehromoeytoma [ J]. J Clin gndocrinol Metab,2002,87 (5) : 1955-1960.
  • 5齐滋华,王鲁中,郭卫华,王青,马祥兴.嗜铬细胞瘤的CT诊断[J].山东大学学报(医学版),2002,40(2):170-171. 被引量:6
  • 6Guller U, Turek J, Eubanks S, et al. Detecting pheochromocytoma: defining the most sensitive test [ J]. Ann Surg,2006,243 (1) :102- 107.
  • 7潘东亮,李汉忠,曾正陪.嗜铬细胞瘤临床功能分级与术前准备标准的探讨[J].中华外科杂志,2004,42(18):1089-1092. 被引量:17
  • 8Izaki H, Fukumofi T,Takahashi M, et al. Indications for laparoseopie adrenalectomy for non-functional adrenal tumor with hypertension: usefulness of adrenoeortical scinfigraphy [ J]. Int J Urol, 2006,13 (6) :677-681.

二级参考文献26

  • 1韦嘉瑚,石木兰.104例嗜铬细胞瘤的CT及其他影像学诊断的评价[J].中华放射学杂志,1993,27(1):11-15. 被引量:21
  • 2陈梓甫,陈文榜,詹汉雄,张文瑛.儿童肾上腺嗜铬细胞瘤(附五例报告)[J].中华泌尿外科杂志,1996,17(11):650-651. 被引量:6
  • 3李果珍.临床CT诊断学[M].北京:中国科学技术出版社,1996.473.
  • 4Cheah WK, Clark OH, Horn JK, et al. Laparoscopic adrenalectomy for pheochromocytoma. World J Surg, 2002, 26:1048-1051.
  • 5Van-der-kleij FG. Adult respiratory distress syndrome due to pheochromocytoma as the presentation of multiple endocrine neoplasia type ⅡA syndrome. Am J Med, 1999, 107:401.
  • 6Imperdore F, Azzolini M, Piscioli F, et al. A rare cause of cardiogenic shock:catecholamine cardiomyopathy of pheochromocytoma. Ital Heart J, 2002, 3:375-378.
  • 7Plouin PF, Duclos JM, Soppelsa F, et al. Factors associated with perioperative morbidity and mortality in patients with pheochromocytoma:analysis of 165 operations at a single center. J Clin Endocrinol Metab, 2001, 86:1477-1489.
  • 8Bogdonoff DL. Pheochromocytoma: specialist cases that all must be prepared to treat? J Cardiothorac Vasc Anesth, 2002, 16:267-269.
  • 9Tauzin-Fin P, Krol-Houdek MC, Gosse P, et al. Laparoscopic adrenalectomy for pheochromocytoma. Perioperative blokade with urapidil. Ann Fr Aneasth Reanim, 2002, 21:464-470.
  • 10Witteles RM, Kaplan EL, Roizen MF. Safe and cost-effective preoperative preparation of patients with pheochromocytoma. Anesth Analg, 2000, 91:302-304.

共引文献22

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部