Van de Louw A, Plaud B, Debaene B
Département d'anesthésie-analgésie-réanimation, institut Gustave-Roussy, Villejuif, France.
Ann Fr Anesth Reanim. 1998;17(4):301-5. doi: 10.1016/s0750-7658(98)80020-8.
Resection of phaeochromocytoma is associated with sudden changes in arterial pressure. Pharmacodynamic and pharmacokinetic properties of sevoflurane are suitable for maintenance of haemodynamic stability. We report two cases of phaeochromocytoma resection using sevoflurane. Intraoperative hypotensive or hypertensive events have been rapidly controlled, most often only by adjustment of the end-expiratory fraction of sevoflurane.
嗜铬细胞瘤切除术与动脉压的突然变化有关。七氟烷的药效学和药代动力学特性适合维持血流动力学稳定。我们报告了两例使用七氟烷进行嗜铬细胞瘤切除术的病例。术中低血压或高血压事件大多仅通过调整七氟烷的呼气末浓度就得到了迅速控制。