[术前准备对嗜铬细胞瘤患者血流动力学变化的影响]

[The influence of preoperative preparation on changes in haemodynamics in patients with pheochromocytoma].

作者信息

Sergiĭko S V, Privalov V A

出版信息

Vestn Khir Im I I Grek. 2010;169(1):80-4.

PMID:20387613

Abstract

The parameters of haemodynamics in 64 pheochromocytoma patients were studied by the "Centaur" technology using the methods of echocardiographic examinations, daily monitoring of arterial pressure and bioimpedance rheography. A comparative analysis of the character of hemodynamic derangements in pheochromocytoma patients at various stages of treatment depending on the quality of preoperative preparation was made. A reliable positive influence of selective alfa-adrenoblocks of the parameters of blood circulation in pheochromocytoma patients in the preoperative and intraoperative periods was revealed. Efficiency of the application of noninvasive methods of estimation of hemodynamics for specification qualities of preoperative preparation has been proved.

摘要

采用超声心动图检查、动脉压日常监测和生物阻抗血流图技术，利用“半人马座”技术研究了64例嗜铬细胞瘤患者的血流动力学参数。根据术前准备质量，对嗜铬细胞瘤患者不同治疗阶段血流动力学紊乱特征进行了比较分析。揭示了选择性α-肾上腺素能阻滞剂在术前和术中对嗜铬细胞瘤患者血液循环参数有可靠的积极影响。已证明应用非侵入性血流动力学评估方法对明确术前准备质量的有效性。