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嗜铬细胞瘤。诊断、术前准备及麻醉管理。

Phaeochromocytoma. Diagnosis, preoperative preparation and anaesthetic management.

作者信息

Hull C J

出版信息

Br J Anaesth. 1986 Dec;58(12):1453-68. doi: 10.1093/bja/58.12.1453.

Abstract

Unless patients harbouring this uncommon tumour are correctly prepared and protected from the effects of excessive catecholamine release, they are greatly at risk when undergoing surgical procedures of any kind. This short review describes the clinical syndromes associated with phaeochromocytoma, the diagnostic procedures which may identify and localize the tumour(s), the principles and practical aspects of pharmacological control, and a method of anaesthetic management which has proved safe and effective in many patients.

摘要

除非患有这种罕见肿瘤的患者得到正确的准备,并免受过多儿茶酚胺释放的影响,否则他们在接受任何类型的外科手术时都面临极大风险。这篇简短的综述描述了与嗜铬细胞瘤相关的临床综合征、可识别和定位肿瘤的诊断程序、药物控制的原则和实际操作,以及一种已在许多患者中证明安全有效的麻醉管理方法。

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