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小儿嗜铬细胞瘤手术的麻醉挑战:病例系列

Anesthetic challenges for pheochromocytoma surgery in pediatric patients: A case series.

作者信息

Vyas Raksha, Sharma Ankur, Goyal Shilpa, Vyas Varuna, Kothari Nikhil

机构信息

Department of Anesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India.

Department of Trauma and Emergency (Anesthesiology), AIIMS, Jodhpur, Rajasthan, India.

出版信息

Saudi J Anaesth. 2023 Apr-Jun;17(2):252-255. doi: 10.4103/sja.sja_663_22. Epub 2023 Mar 10.

DOI:10.4103/sja.sja_663_22
PMID:37260658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10228864/
Abstract

Pheochromocytoma in children is an exceptionally uncommon cause of hypertension in this age group. These tumors pose a significant threat of adverse cardiovascular events during the perioperative phase. In this article, we describe three cases of pediatric pheochromocytoma to shed light on the difficulties associated with administering anesthesia to patients with this condition. The foundations for successful perioperative outcomes include preoperative blood pressure control, extensive intraoperative hemodynamic evaluation, and appropriate coordination with surgeons.

摘要

儿童嗜铬细胞瘤是该年龄组高血压极为罕见的病因。这些肿瘤在围手术期对心血管不良事件构成重大威胁。在本文中,我们描述了三例儿童嗜铬细胞瘤病例,以阐明对此类患者实施麻醉所面临的困难。围手术期成功结局的基础包括术前血压控制、广泛的术中血流动力学评估以及与外科医生的适当协作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/f9c8b7e8a590/SJA-17-252-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/3a1e2849097b/SJA-17-252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/251d46e7759b/SJA-17-252-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/f9c8b7e8a590/SJA-17-252-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/3a1e2849097b/SJA-17-252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/251d46e7759b/SJA-17-252-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a343/10228864/f9c8b7e8a590/SJA-17-252-g003.jpg

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Anesthetic challenges for pheochromocytoma surgery in pediatric patients: A case series.小儿嗜铬细胞瘤手术的麻醉挑战:病例系列
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本文引用的文献

1
Clinical characteristics and outcomes of SDHB-related pheochromocytoma and paraganglioma in children and adolescents.儿童和青少年中 SDHB 相关嗜铬细胞瘤和副神经节瘤的临床特征和结局。
J Cancer Res Clin Oncol. 2020 Apr;146(4):1051-1063. doi: 10.1007/s00432-020-03138-5. Epub 2020 Feb 15.
2
Perioperative Management of Pheochromocytoma.嗜铬细胞瘤的围手术期管理
J Cardiothorac Vasc Anesth. 2017 Aug;31(4):1427-1439. doi: 10.1053/j.jvca.2017.02.023. Epub 2017 Feb 4.
3
Characteristics of Pediatric vs Adult Pheochromocytomas and Paragangliomas.
儿童与成人嗜铬细胞瘤和副神经节瘤的特征
J Clin Endocrinol Metab. 2017 Apr 1;102(4):1122-1132. doi: 10.1210/jc.2016-3829.
4
An effective use of magnesium sulfate for intraoperative management of laparoscopic adrenalectomy for pheochromocytoma in a pediatric patient.
Anesth Analg. 2002 Nov;95(5):1243-4, table of contents. doi: 10.1097/00000539-200211000-00024.