嗜铬细胞瘤切除与术后低血糖症

Phaeochromocytoma removal and postoperative hypoglycaemia.

作者信息

Meeke R I, O'Keeffe J D, Gaffney J D

出版信息

Anaesthesia. 1985 Nov;40(11):1093-6. doi: 10.1111/j.1365-2044.1985.tb10608.x.

DOI:10.1111/j.1365-2044.1985.tb10608.x

Abstract

A case of postoperative hypoglycaemia following removal of a phaeochromocytoma is presented. The hypoglycaemia is due to a reactive rise in insulin and is augmented by alpha adrenoceptor blocking agents. Beta adrenoceptor blockers impair recovery from this hypoglycaemia. Frequent monitoring of blood glucose and the administration of an appropriate solution of dextrose both during and after this operation is recommended.

摘要

本文报告1例嗜铬细胞瘤切除术后发生低血糖的病例。低血糖是由于胰岛素反应性升高所致，α肾上腺素能受体阻滞剂可加重低血糖。β肾上腺素能受体阻滞剂会妨碍低血糖的恢复。建议在手术期间及术后频繁监测血糖，并给予适当的葡萄糖溶液。