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恶性嗜铬细胞瘤患者的围手术期管理

Perioperative management of a patient with a malignant pheochromocytoma.

作者信息

Miller D, Robblee J A

出版信息

Can Anaesth Soc J. 1985 May;32(3 Pt 1):278-82. doi: 10.1007/BF03015143.

DOI:10.1007/BF03015143
PMID:4005679
Abstract

A case report is presented of a patient with a known malignant pheochromocytoma, who was to undergo an orthopaedic procedure using methylmethacrylate bone cement. Preoperative preparation of the patient included the use of prazosin and metyrosine. Epidural blockade was chosen as the anaesthetic technique for intraoperative management. Surgical fixation with methylmethacrylate did not produce profound or prolonged hypotension despite sudden massive blood loss prior to its use. Epidural morphine was administered for postoperative pain control.

摘要

本文报告一例已知患有恶性嗜铬细胞瘤的患者,该患者即将接受使用甲基丙烯酸甲酯骨水泥的骨科手术。患者的术前准备包括使用哌唑嗪和甲酪氨酸。选择硬膜外阻滞作为术中管理的麻醉技术。尽管在使用甲基丙烯酸甲酯进行手术固定之前突然大量失血,但并未导致严重或持久的低血压。术后给予硬膜外吗啡控制疼痛。

相似文献

1
Perioperative management of a patient with a malignant pheochromocytoma.恶性嗜铬细胞瘤患者的围手术期管理
Can Anaesth Soc J. 1985 May;32(3 Pt 1):278-82. doi: 10.1007/BF03015143.
2
Metyrosine and pheochromocytoma.甲酪氨酸与嗜铬细胞瘤
Arch Intern Med. 1997 Apr 28;157(8):901-6.
3
Surgical management of pheochromocytoma with the use of metyrosine.使用甲酪氨酸对嗜铬细胞瘤进行手术治疗。
Ann Surg. 1990 Nov;212(5):621-8. doi: 10.1097/00000658-199011000-00010.
4
Alpha-methyltyrosine in the management of phaeochromocytoma.α-甲基酪氨酸在嗜铬细胞瘤治疗中的应用
Thorax. 1982 Aug;37(8):632-3. doi: 10.1136/thx.37.8.632.
5
Reduction in the size of a pheochromocytoma pulmonary metastasis by metyrosine therapy.
N Engl J Med. 1984 May 10;310(19):1264-5. doi: 10.1056/NEJM198405103101917.
6
Failure of alpha-methyltyrosine to prevent hypertensive crisis in pheochromocytoma.
Arch Intern Med. 1985 Nov;145(11):2114-5.
7
Reversibility of catecholamine-induced dilated cardiomyopathy in a child with a pheochromocytoma.
N Engl J Med. 1987 Mar 26;316(13):793-7. doi: 10.1056/NEJM198703263161307.
8
Recurrence of phaeochromocytoma, with development of metastases. Effect of treatment with alpha-methylparatyrosine.
Neth J Med. 1981;24(3):120-3.
9
Resection and Zickel device fixation for metastatic tumor.
Clin Orthop Relat Res. 1982 Apr(164):261-4.
10
[Anesthetic management in pheochromocytoma].[嗜铬细胞瘤的麻醉管理]
Zentralbl Chir. 1997;122(6):460-6.

引用本文的文献

1
Paroxystic hypertension in a long-term hemodialyzed patient. Successful adrenalectomy for a dopamine-producing pheochromocytoma.一名长期接受血液透析患者的阵发性高血压。成功切除产生多巴胺的嗜铬细胞瘤的肾上腺切除术。
J Endocrinol Invest. 1995 Sep;18(8):656-62. doi: 10.1007/BF03349785.
2
Perioperative management for resection of a malignant non-chromaffin paraganglioma of the bladder.
Can J Anaesth. 1989 Mar;36(2):215-8. doi: 10.1007/BF03011448.

本文引用的文献

1
Epidural blockade and circulating catechol amine levels in a child with phaeochromocytoma.嗜铬细胞瘤患儿的硬膜外阻滞与循环儿茶酚胺水平
Can Anaesth Soc J. 1958 Jul;5(3):282-7. doi: 10.1007/BF03014130.
2
Prazosin and propranolol in preoperative management of pheochromocytoma.哌唑嗪与普萘洛尔在嗜铬细胞瘤术前管理中的应用
Clin Pharmacol Ther. 1982 Aug;32(2):156-60. doi: 10.1038/clpt.1982.141.
3
Resection and Zickel device fixation for metastatic tumor.
Clin Orthop Relat Res. 1982 Apr(164):261-4.
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Pheochromocytoma: current status and changing trends.嗜铬细胞瘤:现状与变化趋势
Surgery. 1982 Apr;91(4):367-73.
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Cardiovascular effects of methylmethacrylate cement.甲基丙烯酸甲酯骨水泥的心血管效应。
Br Med J. 1972 Feb 5;1(5796):349-51. doi: 10.1136/bmj.1.5796.349.
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The intraoperative management of phaeochromocytoma with total epidural sympathetic blockade.
Br J Anaesth. 1974 Jan;46(1):78-81. doi: 10.1093/bja/46.1.78.
7
General anaesthesia and total hip replacement.
Can Anaesth Soc J. 1974 Nov;21(6):546-56. doi: 10.1007/BF03006016.
8
Experimental production of vascular hypotension, and bone marrow and fat embolism with methylmethacrylate cement. Traumatic hypertension of bone.
Clin Orthop Relat Res. 1974 Jul-Aug(102):227-44. doi: 10.1097/00003086-197407000-00027.
9
Isoflurane anesthesia for pheochromocytoma: A case report.
Anesth Analg. 1975 Jul-Aug;54(4):419-21. doi: 10.1213/00000539-197507000-00002.
10
Anaesthetic management of patients with phaeochromocytoma. A review of 102 cases.
Br J Anaesth. 1977 Oct;49(10):991-8. doi: 10.1093/bja/49.10.991.