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漏诊肾上腺嗜铬细胞瘤的麻醉处理一例

发布时间:2018-05-07 10:18

  本文选题:左肾上腺 + 恶性高血压 ; 参考:《临床麻醉学杂志》2015年04期


【摘要】:正患者,男,63岁,身高175cm,体重68kg。因"不完全性肠梗阻"在外院诊治,期间CT检查发现"左肾上腺区肿块,大小7.5cm×4.1cm×4.5cm",转入我院,拟在全身麻醉下行后腹腔镜下左肾上腺肿瘤切除术。患者自述有高血压病史,只服用珍菊降压片控制血压,效果满意;否认恶性高血压发作及伴有心悸、头晕等症状。临床考虑肿瘤为无功能性,所以未做24h血、尿儿茶酚胺及其代谢产物浓度测定。
[Abstract]:The patient was 63 years old, 175cm tall and 68 kg. During the diagnosis and treatment of incomplete intestinal obstruction in our hospital, CT findings of "left adrenal mass, size 7.5cm 脳 4.1cm 脳 4.5cm" were transferred to our hospital for retroperitoneal laparoscopic resection of left adrenal neoplasms under general anesthesia. The patient reported a history of hypertension, only took Zhenju Jiangya tablet to control blood pressure, the effect was satisfactory; denied malignant hypertension attack and accompanied by palpitation, dizziness and other symptoms. The tumor was considered as nonfunctional, so the concentration of catecholamine and its metabolites in 24 h blood and urine were not determined.
【作者单位】: 南京医科大学附属无锡第二医院麻醉科;南京医科大学附属无锡第二医院泌尿外科;
【分类号】:R736.6;R614

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