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肾上腺嗜铬细胞瘤的诊疗体会 被引量:1

The experience for the diagnosis and treatment of adrenal pheochromocytoma
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摘要 目的 提高肾上腺嗜铬细胞瘤 (PH)的诊疗水平。方法 对 3 1例肾上腺PH患者的临床资料及诊疗经验进行了回顾总结。结果  2 2例有典型高血压表现 ,9例症状表现不典型。其中 3例有并发高血压危象、心力衰竭及高热危象 ,3例有家族史。 3 0例经手术治愈 ,1例因瘤体巨大与周围组织关系密切 ,仅手术探查。结论 诊断时要重视可疑的PH病例 ,做好定性及定位检查进行筛选 ,以防漏诊和误诊 ;治疗时要做好充分的术前准备、降压、扩容、改善心功能以及严密监护和注意术中操作 ,是治疗成功的关键。 Objective To evaluate the diagnostic and treatment procedures for adrenal pheochromocytoma(ph).Methods Looking back sum up the records and the diagnostic and treatment experience for31cases of adrenal ph.Results 22 cases had typical high blood pressure symptom,9 cases had no typical clinical symptom of the ph.Among them 3 cases erupted the high blood pressure urgent phenomenon、the heart function breakdown and the have high fever urgent phenomenon,3 cases had family tree.30 cases were cured by surgical operation,1 because of the tumor physical volume bigness and surroundings organize the relation close,only was explored by surgery.Conclusions In diagnosting,want to pay attention to the suspicious ph case,and to made the determination nature and position checks to proceed screening,then prevent the leak diagnosis with misdiagnosis;In curing,want to made sufficient the preoperative preparation、reduce the blood pressure、complement the blood capacity、improvement the myocardial function and the close serve as guardian with notice the perioperative operation,and it is successful key for curing the ph.
出处 《临床外科杂志》 2004年第S1期16-18,共3页 Journal of Clinical Surgery
关键词 肾上腺肿瘤 嗜铬细胞瘤 诊断 治疗 adrenal tumor pheochromocytoma diagnosis treatment
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