Chang W K
Department of Anesthesiology, Taipei Veterans General Hospital, National Yang Ming Medical College.
Ma Zui Xue Za Zhi. 1993 Dec;31(4):257-66.
Pheochromocytoma is a rare tumor which develops in chromaffin cells and secrets excessive catecholamine. Unless patients harboring this uncommon tumor are exactly diagnosed preoperatively, well prepared, and protected from the effects of excessive catecholamine release, they are greatly at risk when undergoing any surgical procedures. This brief review contains the clinical symptoms, signs and syndromes associated with pheochromocytoma, the diagnostic methods which may identify and localize the lesion, the regimens of preoperative preparation and pharmacological control, the anesthetic management which has proved safe and effective in many patients, the anesthetic agents which may be contraindicated in some patients, and the postoperative management.
嗜铬细胞瘤是一种罕见的肿瘤，起源于嗜铬细胞，分泌过量的儿茶酚胺。除非术前对患有这种罕见肿瘤的患者进行准确诊断、充分准备并预防过量儿茶酚胺释放的影响，否则他们在接受任何外科手术时都面临极大风险。本简要综述涵盖了与嗜铬细胞瘤相关的临床症状、体征和综合征、可识别和定位病变的诊断方法、术前准备和药物控制方案、已在许多患者中证明安全有效的麻醉管理、某些患者可能禁忌使用的麻醉药物以及术后管理。
