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嗜铬细胞瘤的围手术期管理

Perioperative Management of Pheochromocytoma.

作者信息

Naranjo Julian, Dodd Sarah, Martin Yvette N

机构信息

Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, MN.

Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, MN.

出版信息

J Cardiothorac Vasc Anesth. 2017 Aug;31(4):1427-1439. doi: 10.1053/j.jvca.2017.02.023. Epub 2017 Feb 4.

Abstract

Pheochromocytomas are rare neuroendocrine tumors that produce and store catecholamines. Without adequate preparation, the release of excessive amounts of catecholamines, especially during anesthetic induction or during surgical removal, can produce life-threatening cardiovascular complications. This review focuses on the perioperative management of pheochromocytoma/paragangliomas, initially summarizing the clinical aspects of the disease and then highlighting the current evidence available for preoperative, intraoperative, and postoperative anesthetic management.

摘要

嗜铬细胞瘤是一种罕见的神经内分泌肿瘤,可产生并储存儿茶酚胺。如果没有充分的准备,尤其是在麻醉诱导或手术切除过程中,过量儿茶酚胺的释放会引发危及生命的心血管并发症。本综述聚焦于嗜铬细胞瘤/副神经节瘤的围手术期管理,首先概述该疾病的临床情况,然后着重介绍目前有关术前、术中和术后麻醉管理的证据。

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