切除分泌儿茶酚胺的化学感受器瘤。神经安定麻醉、肾上腺素能阻滞及硝普钠的应用。

Removal of catecholamine-secreting chemodectoma. The use of neuroleptanaesthesia, adrenergic blockade and sodium nitroprusside.

作者信息

Clarke A D, Matheson H, Boddie H G

出版信息

Anaesthesia. 1976 Nov;31(9):1225-30. doi: 10.1111/j.1365-2044.1976.tb11976.x.

DOI:10.1111/j.1365-2044.1976.tb11976.x

Abstract

A case of catecholamine-secreting chemodectoma of the neck in a 47-year-old male who also had temporal lobe epilepsy is described. Details of presentation, diagnosis and successful treatment are given. He was fully alpha blocked with phenoxybenzamine and given neuroleptic drugs but his blood pressure rose to dangerous levels when the tumour was handled and did not respond to intravenous phentolamine. Sodium nitroprusside was successfully used to achieve blood pressure control.

摘要

描述了一例47岁男性颈部嗜铬细胞瘤患者，该患者同时患有颞叶癫痫。给出了其临床表现、诊断及成功治疗的详细情况。患者先用苯苄胺进行了充分的α受体阻滞，并给予了抗精神病药物，但在处理肿瘤时血压升至危险水平，且对静脉注射酚妥拉明无反应。硝普钠成功用于控制血压。