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嗜铬细胞瘤手术的麻醉处理 被引量:1

Anesthesia of patients with pheochromocytoma.
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摘要 目的 总结嗜铬细胞瘤患者的麻醉期处理经验。方法 分析 2 8例嗜铬细胞瘤手术患者的处理资料。分为两组 ,A组 (15例 )术前应用酚苄明或哌唑嗪 ,加用心得安 ,术前 3天输血 4 0 0~ 80 0ml扩容 ;B组 (13例 )术前除用酚苄明外 ,加用硝苯吡啶或尼卡地平 ,术前 3天输晶体液 10 0 0~ 2 0 0 0ml扩容。两组病例均选用静吸复合全身麻醉。结果 B组术中血流动力学明显较A组平稳。结论 全身麻醉用于嗜铬细胞瘤手术安全有效 ,可降低应激反应 ;术前用晶体扩容效果满意 ,可减少输异体血 ,防止输血的并发症。 Objective To summarize the experiences in anesthesiology of pheochromocytoma.Methods 28 cases of pheochromocytoma were reviewed and divided two groups:15 cases of group A subject to Phenoxybenzamine or prazosin with addition of Propranolol and blood transfusion of 400~800 ml 3 days before operation;13 cases of group B receiving Phenoxybenzamine with addition of adalat or nicardipine and liquid transfusion of 1 000~2 000 ml 3 days before operation.Both groups were subjected to isoflurane inhalation combined with procaine balanced anesthesia.Results Hemodynamics of group B changed steadily as compared with group A.Conclusion General anesthesia is safe and effective, and can decreases stress response o the patients with pheochromocytoma. Preoperative liquid transfusion can effectively enhance the blood volume and decrease allogenic transfusion.
出处 《华中医学杂志》 2004年第1期36-37,共2页 Central China Medical Journal
关键词 嗜铬细胞瘤 手术治疗 麻醉处理 静吸复合全身麻醉 术中监测 Pheochromocytoma Deliberate hypotension General anesthesia
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