Jovenich J J
Department of Anesthesiology, Lahey Clinic Medical Center, Burlington, Massachusetts.
Urol Clin North Am. 1989 Aug;16(3):583-7.
Although adequate preoperative readiness of patients with pheochromocytoma decreases the myocardial oxygen imbalance with which the anesthesiologist must deal, these patients remain a challenge, requiring attention to detail. Thorough knowledge of the pathophysiology and applicable pharmacology will aid in the selection of the most appropriate drugs for the task. Preoperative evaluation, adequate monitoring, protection against stimulating maneuvers, and prompt response to hemodynamic changes remain the hallmarks of good anesthetic care for these interesting patients.
尽管嗜铬细胞瘤患者术前准备充分可减少麻醉医生必须应对的心肌氧失衡，但这些患者仍然是一个挑战，需要关注细节。对病理生理学和适用药理学的透彻了解将有助于选择最适合该任务的药物。术前评估、充分监测、防止刺激操作以及对血流动力学变化的迅速反应仍然是对这些有趣患者进行良好麻醉护理的标志。
