使用血管加压素治疗嗜铬细胞瘤切除术后对儿茶酚胺抵抗的低血压。
The use of vasopressin to treat catecholamine-resistant hypotension after phaeochromocytoma removal.
作者信息
Tan S G, Koay C K, Chan S T
机构信息
Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore.
出版信息
Anaesth Intensive Care. 2002 Aug;30(4):477-80. doi: 10.1177/0310057X0203000414.
A patient undergoing excision of phaeochromocytoma developed refractory hypotension which was complicated by significant intraoperative blood loss. Cardiovascular support with fluids, blood and noradrenaline failed to reverse the hypotension. Introduction of vasopressin successfully reversed the hypotension. The experience with this case suggests that vasopressin may be a useful adjunct in the treatment of catecholamine-resistant hypotension after phaeochromocytoma excision.
一名接受嗜铬细胞瘤切除术的患者出现顽固性低血压，并伴有术中大量失血。通过补液、输血和使用去甲肾上腺素进行心血管支持未能逆转低血压。使用血管加压素成功逆转了低血压。该病例的经验表明，血管加压素可能是嗜铬细胞瘤切除术后治疗儿茶酚胺抵抗性低血压的有用辅助药物。
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