小儿异位嗜铬细胞瘤麻醉处理1例报告
摘要
<正>患儿,男,9岁,26 kg。"发现后纵隔占位1周"于2016年10月8日入院。家属述既往史无特殊;胸部CT(图1)示:左后纵隔低密度团块影(6. 8 cm×4. 5 cm);实验室检查(-)。患儿入室后烦躁、大汗、哭泣。血压(BP) 270/130 mmH g,心率(HR) 140bpm。反复追问病史,发现患儿6月前开始有多汗、心悸、苍白、头痛症状。高度怀疑异位嗜铬细胞瘤,
引文
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[2]Fishbein L.Pheochromocytoma and Paraganglioma:Genetics,Diagnosis,and Treatment[J].Hematol Oncol Clin North Am,2016,30(1):135-150.
[3]林登强.嗜铬细胞瘤的诊断进展[J].国际泌尿系统杂志,2016,36(5):782-788.
[4]Prejbisz A,Lenders JW,Eisenhofer G,et al.Mortality Associated with Phaeochromocytoma[J].Horm Metab Res,2013,45(2):154-158.
[5]中华医学会麻醉学分会.成人嗜铬细胞瘤手术麻醉管理专家共识[C].2017.
[6]Roshanov PS,Rochwerg B,Patel A,et al.Withholding Versus Continuing Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers before Noncardiac Surgery:An Analysis of the Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Prospective Cohort[J].Anesthesiology,2017,126(1):16-27.