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采用体外循环和生长抑素输注的两阶段根治性切除术治疗累及纵隔和左心房的恶性支气管类癌。

Treatment of a malignant bronchial carcinoid affecting the mediastinum and left atrium by radical two stage resection with cardiopulmonary bypass and somatostatin infusion.

作者信息

Darby C, Sinclair M, Westaby S

机构信息

John Radcliffe Hospital, Oxford.

出版信息

Br Heart J. 1990 Jan;63(1):55-7. doi: 10.1136/hrt.63.1.55.

DOI:10.1136/hrt.63.1.55
PMID:1968753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1024316/
Abstract

At operation a malignant bronchial carcinoid that had invaded the left atrium produced a carcinoid crisis in a 63 year old woman. A somatostatin infusion was required to resuscitate the heart and circulation and to allow subsequent resection of the carcinoid under cardiopulmonary bypass.

摘要

手术时，一名63岁女性因侵袭左心房的恶性支气管类癌发生了类癌危象。需要输注生长抑素以恢复心脏功能和循环，并在体外循环下随后切除类癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c738/1024316/b204b1db1e10/brheartj00049-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c738/1024316/b204b1db1e10/brheartj00049-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c738/1024316/b204b1db1e10/brheartj00049-0062-a.jpg

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本文引用的文献

1
The nonbenign nature of bronchial carcinoids and cylindromas.支气管类癌和圆柱瘤的非良性本质。
Cancer. 1961 May-Jun;14:539-46. doi: 10.1002/1097-0142(199005/06)14:3<539::aid-cncr2820140314>3.0.co;2-p.
2
The effect of carcinoid levels of serotonin and substance P on hemodynamics.类癌水平的血清素和P物质对血流动力学的影响。
Ann Surg. 1984 Feb;199(2):197-204. doi: 10.1097/00000658-198402000-00012.
3
Changing times in surgical management of bronchopulmonary carcinoid tumor.
Can J Anaesth. 1993 Jul;40(7):664-6. doi: 10.1007/BF03009703.
Ann Thorac Surg. 1984 Oct;38(4):339-44. doi: 10.1016/s0003-4975(10)62283-7.
4
Atypical carcinoid tumors of the lung.肺非典型类癌肿瘤
J Thorac Cardiovasc Surg. 1972 Sep;64(3):413-21.
5
Somatostatin, anaesthesia, and the carcinoid syndrome. Peri-operative administration of a somatostatin analogue to suppress carcinoid tumour activity.生长抑素、麻醉与类癌综合征。围手术期给予生长抑素类似物以抑制类癌肿瘤活性。
Anaesthesia. 1987 Jun;42(6):627-32. doi: 10.1111/j.1365-2044.1987.tb03087.x.
6
Treatment of the malignant carcinoid syndrome. Evaluation of a long-acting somatostatin analogue.恶性类癌综合征的治疗。一种长效生长抑素类似物的评估。
N Engl J Med. 1986 Sep 11;315(11):663-6. doi: 10.1056/NEJM198609113151102.