Jiang Aihua, Zhang Haiqiao, Liu Xiaofei, Zhao Huishan
Department of Anesthesia, the Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
These authors contributed equally to this paper.
World J Oncol. 2017 Dec;8(6):191-195. doi: 10.14740/wjon1065e. Epub 2017 Dec 28.
We report an unusual case of pheochromacytoma and investigate the perioperative anesthetic management methods for giant abdominal aortic pheochromocytoma. We analyzed and summarized the recent clinical anesthetic management and experience in the hospital for a giant abdominal aortic pheochromocytoma, with the size of 20 × 14 × 5 cm. Under general anesthesia combined with TAPB, the resection of the giant abdominal aorta pheochromocytoma was successfully completed, and the patient was cured and discharged. Well planned and careful management resulted in patient with stable blood pressure, blood volume and cardiac functions, free from complications. We concluded that, as for the patient in this case, the clear preoperative pathological diagnosis, intraoperative joint application of a variety of vasoactive drugs, the long time usage of postoperative high dose of norepinephrine, as well as effective analgesic measures, were the focus of the patient's perioperative anesthesia management, providing protection to the prognosis and turnover to the patients.
我们报告了一例罕见的嗜铬细胞瘤病例，并探讨巨大腹主动脉旁嗜铬细胞瘤的围手术期麻醉管理方法。我们分析并总结了我院近期对一例大小为20×14×5 cm的巨大腹主动脉旁嗜铬细胞瘤的临床麻醉管理及经验。在全身麻醉联合腹横肌平面阻滞（TAPB）下，成功完成了巨大腹主动脉旁嗜铬细胞瘤的切除，患者治愈出院。精心的计划和细致的管理使患者血压、血容量和心功能稳定，未出现并发症。我们得出结论，对于该病例患者，术前明确的病理诊断、术中联合应用多种血管活性药物、术后长时间使用高剂量去甲肾上腺素以及有效的镇痛措施，是患者围手术期麻醉管理的重点，为患者的预后和康复提供了保障。
