Furino A, Barbone G
III Settore e Servizio di Anestesia e Rianimazione, Ospedale Consorziale Policlinico, USL n. 9, Bari.
Minerva Anestesiol. 1993 May;59(5):277-82.
The authors report their own experience in three cases of paediatric phaeochromocytoma. Before surgery the patients received alpha-adrenergic blocking drugs; two of them also received calcium channels blocking drugs and in one of them was employed a beta-adrenergic blocking drug too. Before surgery the patients received blood and plasma expandera infusions for two weeks. Hypertension during surgery was treated with phentolamine infusion. The employment of an invasive haemodynamic monitoring was very important. The authors believe that such management, already employed in adult patients, is the best choice in paediatric patients too.
作者报告了他们在3例小儿嗜铬细胞瘤病例中的经验。手术前,患者接受了α-肾上腺素能阻断药物治疗;其中2例还接受了钙通道阻断药物治疗,1例还使用了β-肾上腺素能阻断药物。手术前,患者接受了两周的血液和血浆扩容剂输注。手术期间的高血压用酚妥拉明输注治疗。采用有创血流动力学监测非常重要。作者认为,这种已应用于成年患者的管理方法,对小儿患者也是最佳选择。