经尿道膀胱壁内嗜铬细胞瘤激光切除手术的麻醉管理(2例报告)

Anesthetic management during transurethral laser resection of pheochromocytoma in urinary bladder: A report of 2 cases

  • 摘要: 目的 探讨经尿道膀胱嗜铬细胞瘤激光切除手术的麻醉与管理。方法 通过回顾2例膀胱嗜铬细胞瘤的临床资料,分析经尿道膀胱嗜铬细胞瘤切除手术的麻醉特点。结果 2例术前诊断明确,充分准备。切除肿瘤时有创动脉监测血压、心率明显波动,适时采用血管活性药物调整血压和心率,手术过程顺利。结论 术前需充分准备,术中有创血压监测可帮助外科医生确定病灶部位。

     

    Abstract: Objective To study the anesthetic management during transurethral laser resection of pheochromocytoma in urinary bladder. Methods Clinical data about 2 patients with pheochromocytoma in urinary bladder and the anesthetic features during transurethral laser resection of their pheochromocytoma in urinary bladder were retrospectively analyzed. Results The diagnosis of pheochromocytoma in the 2 patients was established before operation.The invasive blood pressure and heart rate of the patients were significantly changed during operation,which were treated with vasoactive drugs.The operation was uneventful. Conclusion Careful preparation before operation and invasive blood pressure monitoring can help surgeons to locate the foci.

     

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