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隐匿性嗜铬细胞瘤的围手术期管理挑战:一例病例报告及文献综述

Perioperative Management Challenges in Silent Pheochromocytoma: A Case Report and Literature Review.

作者信息

Lin Kai, Li Xuan, Guo Tian, Zhong Haixing

机构信息

Department of Anesthesiology and Perioperative Medicine, Xijing Hospital The Fourth Military Medical University Xi'an China.

Shaanxi Provincial Clinical Research Center for Anesthesiology Medicine Xi'an China.

出版信息

Clin Case Rep. 2025 Apr 6;13(4):e70396. doi: 10.1002/ccr3.70396. eCollection 2025 Apr.

Abstract

Silent pheochromocytomas, frequently misdiagnosed as nonfunctioning adrenal adenomas, carry a high risk of perioperative hemodynamic instability. This case underscores the importance of thorough preoperative biochemical screening, proactive anesthetic strategies, and continuous intraoperative monitoring. Effective multidisciplinary management is crucial to prevent life-threatening complications and achieve optimal surgical outcomes.

摘要

无症状嗜铬细胞瘤常被误诊为无功能肾上腺腺瘤,具有围手术期血流动力学不稳定的高风险。该病例强调了术前全面生化筛查、积极的麻醉策略及持续术中监测的重要性。有效的多学科管理对于预防危及生命的并发症及实现最佳手术效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/16963eba00a5/CCR3-13-e70396-g005.jpg

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