Neuhaus R, Weitzel H, Eisenbach G M, Lips U, Zenz M
Geburtshilfe Frauenheilkd. 1980 Oct;40(10):851-62. doi: 10.1055/s-2008-1037229.
In this paper pathophysiology of pheochromocytoma and its modern diagnostic and therapeutic management are discussed with special regard to the combination of pheochromocytoma and pregnancy. The preoperative treatment with phenoxybenzamine is evaluated. As for the anesthetic management barbiturates and neurolept anesthesia are recommended. In the acute treatment of extreme blood pressure values sodium nitroprusside is preferred to phentolamine. Whereas vaginal delivery is contraindicated in a patient with pheochromocytoma there is no definite superiority of tumorresection along with caesarean section against a separate abdominal procedure.
本文讨论了嗜铬细胞瘤的病理生理学及其现代诊断和治疗管理，特别关注嗜铬细胞瘤与妊娠的合并情况。评估了苯氧苄胺的术前治疗。至于麻醉管理，推荐使用巴比妥类药物和神经安定麻醉。在极端血压值的急性治疗中，硝普钠比酚妥拉明更受青睐。虽然嗜铬细胞瘤患者禁忌经阴道分娩，但与剖宫产一起进行肿瘤切除并不比单独的腹部手术具有明确的优势。
