嗜铬细胞瘤病人术前发生高血压危象的诱因分析及护理对策

Analysis of precipitating factors of hypertensive crisis of pheochromocytoma patients before accepting operation and its nursing countermeasures

[目的]分析嗜铬细胞瘤病人术前发生高血压危象的诱因,探讨其护理对策。[方法]回顾性分析5例嗜铬细胞瘤术前发生高血压危象病人的临床资料。[结果]情绪变化、过度疲劳及降压药服用不当、刺激挤压瘤体、腹压增高是发生高血压危象的诱因。[结论]针对诱因进行相应的护理及治疗是防治嗜铬细胞瘤病人术前发生高血压危象的关键。

Objective： To analyze precipitating factors of hypertensive crisis of pheochromocytoma patients before accepting operation and to probe into its nursing countermeasures. Methods： Clinical data of five pheochromocytoma patients complicated with hypertensive crisis before accepting operation were analyzed retrospectively. Results： Emotion changes,overtiredness and orally taking antihypertensive agent unsuitably, stimulating and compressing tumor body and elevated abdominal pressure were the precipitating factors of hypertensive crisis occurrence of pheochromocytoma patients. Conclusion： It is the key point to carry out the comprehending nursing and treatment to aim directly at these precipitating factors for preventing hypertensive crisis of pheochromocytoma patients before accepting operation.