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[嗜铬细胞瘤手术中硫酸镁的应用:附2例报告]

[The use of magnesium sulfate during surgery of pheochromocytoma: apropos of 2 cases].

作者信息

Drolet P, Girard M

机构信息

Département d'anesthésie-réanimation, Hôpital Maisonneuve-Rosemont et Université de Montréal, Québec.

出版信息

Can J Anaesth. 1993 Jun;40(6):521-5. doi: 10.1007/BF03009735.

Abstract

Maintenance of haemodynamic stability during anaesthesia for phaeochromocytoma resection is still a challenge. If magnesium sulfate is widely used for the control of arterial pressure during preeclampsia, its use during phaeochromocytoma resection has only been published by one author. We describe two cases where magnesium sulfate is the main agent used to control arterial pressure during resection of a phaeochromocytoma. Magnesium sulfate's hypotensive, antiarrhythmic and antiadrenergic properties are reviewed. The total doses administered were 11 g and 12 g, given as an infusion and boluses. Magnesium sulfate could be part of the anaesthetist's pharmacopoeia during phaeochromocytoma resection.

摘要

在嗜铬细胞瘤切除术中维持血流动力学稳定仍然是一项挑战。硫酸镁在子痫前期广泛用于控制动脉血压,而其在嗜铬细胞瘤切除术中的应用仅有一位作者发表过相关报道。我们描述了两例在嗜铬细胞瘤切除术中以硫酸镁作为控制动脉血压主要药物的病例。本文回顾了硫酸镁的降压、抗心律失常及抗肾上腺素能特性。给药总量分别为11克和12克,通过静脉输注和推注给予。硫酸镁可成为麻醉医生在嗜铬细胞瘤切除术用药中的一部分。

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