摘要
目的探讨嗜铬细胞瘤患者的临床特点及全身麻醉处理要点。方法回顾性分析笔者所在医院近期1例术前误诊腹膜后嗜铬细胞瘤切除术的麻醉处理过程。术中切除瘤体时采用七氟烷、丙泊酚加深麻醉,静脉泵注硝酸甘油的方法处理血压的升高。瘤体切除后血压剧烈下降,及时使用大剂量去甲肾上腺素持续泵注获得满意效果。术后回ICU病房继续使用去甲肾上腺素做后续治疗。结果患者安全顺利完成麻醉和手术,10d后痊愈出院。结论手术中及时根据血液动力学的变化合理应用血管活性药物实施降压和升压措施,适当的麻醉深度,积极补充容量维持循环功能稳定是保证手术成功和患者安全的关键。
Objective To investigate the clinical features and anesthetic management of pheochromocytoma. Methods Clinical data about one patient with misdiagnosis pheochromocytoma and the anesthetic management during surgery were analyzed retrospectively.Sevoflurane and propofol were used to deepen the anesthesia during resection of the tumor, nitroglycerin was Intravenous infusion continued to lower pressure. And noradrenalin was used to raise pressure when systolic pressure was dropped severe after tumor resection, patient was treated continuing in postoperative ICU with norepinephrine. Results Anesthesia and surgery went smoothly,and the patient was fully recovered 10 days after. Conclusion It is concluded that using vasoactive drugs to lower and raise blood pressure according to hemodynamics,appropriate anesthetic depth and proper volume expansion are critical for successful surgery and patient safety.
出处
《中国医药科学》
2013年第1期166-167,共2页
China Medicine And Pharmacy
