摘要
目的：探讨嗜铬细胞瘤切除术的麻醉方法和管理.方法：对我院自2007年6月至2009年6月收治的60例性嗜铬细胞瘤切除术的患者的临床表现、手术方法及麻醉效果进行回顾性分析,总结其术前准备、麻醉诱导、术中检测、液体管理及活性药物使用等方面的经验.结果：该组患者安全度过麻醉和手术,无麻醉并发症发生,术中循环稳定.结论：合理的麻醉,充分的术前准备可保障嗜铬细胞瘤切除术病人的麻醉安全,a受体阻滞剂的使用和血容量的适量扩充是术后转归的重要环节.
Objective to explore a pheochromoeytoma resection of anesthetic methods and management. Methods from June 2007 to June 2009 60 cases were pheochromocytoma resection of the patient＇s clinical manifestations, surgery and anesthesia methods retrospective analysis, this paper summarizes the effect of the preoperative preparation, narcotic induction, detection, liquid management and active drug use, etc. This patient safety through the anesthesia and surgery, complications, without anesthesia in circulation stabilization. Conclusion the reasonable anesthesia, sufficient preoperative preparation can guarantee a pheochromocytoma resection of anesthesia, a patient safety and blood use ssbloekers moderate capacity expansion is the important link of the postoperative outcome.
关键词
嗜铬细胞瘤切除术
麻醉
控制性血压
pheoehromocvtoma resection
Anesthesia
Control of blood pressure
