west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "嗜铬细胞瘤" 14 results
  • 腹腔镜下肾上腺嗜铬细胞瘤切除术的围手术期预见性护理

    目的总结腹腔镜肾上腺嗜铬细胞瘤切除术的围手术期护理模式。 方法纳入2013年1月-2014年12月收治并行腹腔镜肾上腺嗜铬细胞瘤切除术的患者共117例,在围手术期进行严密观察,并予以及时的预见性处理。 结果117例患者均康复出院,平均住院时间(6.9±1.2)d。术后低血容量休克发生率1.71%,肾上腺危象发生率0.85%,术后腹胀发生率2.56%,皮下气肿发生率1.71%。 结论预见性护理能降低腹腔镜肾上腺嗜铬细胞瘤切除术后并发症发生率,利于患者的快速康复,值得在临床护理工作中推广应用。

    Release date: Export PDF Favorites Scan
  • Experiences in Diagnosis and Treatment of Adrenal Pheochromocytoma(Report of 37 Cases

    目的:探讨肾上腺嗜铬细胞瘤的诊治方法。方法:回顾性分析我院1995年10月~2008年10月收治37例肾上腺嗜铬细胞瘤的临床资料,总结其主要临床表现、手术方法及围手术期血压的控制方法。结果:37例患者均行手术治疗,其中35例术后血压恢复正常,2例术后血压未降至正常水平。结论:肾上腺嗜铬细胞瘤的诊断主要依靠多种内分泌激素的测定及B超、CT的定位检查,确诊依赖于病理检查,手术切除是有效的治疗方法。术前的降压、扩容和术后的补液升压等围手术期的处理是手术治疗成功的关键。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • 直肠癌合并疑似分泌多巴胺的嗜铬细胞瘤一例

    Release date:2021-06-18 03:02 Export PDF Favorites Scan
  • Orthotopic Heart Transplantation for Primary Cardiac Pheochromocytoma: A Case Report

    Objective To report the experiences using orthotopic heart transplantation (HTX) to treat a patient with primary cardiac pheochromocytoma (PCT). Methods On June 2, 2005, a 48-year-old woman received orthotopic HTX because she suffered from cardiac PCT which can not be resected. The procedure for the recipient was uneventful. The aortic crossclamp time was 95 min, assist circulation time 64 min. Results Twenty days after the operation, the patient was discharged without any events, and serum norepinepherine dropped to 1. 339 ng/ml, and urinary norepinepherine 108μg/24h. Conclusion Orthotopic HTX is an effective treatment for cardiac PCT when it cannot be resected.

    Release date:2016-08-30 06:22 Export PDF Favorites Scan
  • 妊娠合并嗜铬细胞瘤的诊断与围手术期处理

    目的探讨妊娠合并嗜铬细胞瘤的诊断与围手术期处理方法。 方法回顾性分析2004年3月-2014年3月妊娠合并嗜铬细胞瘤接受剖宫产手术的3例患者的临床资料。3例患者术前予以扩充血容量,给予α和(或)β肾上腺素能受体阻滞药控制病情。在蛛网膜下隙与硬脊膜外隙联合阻滞麻醉下实施纵切口剖宫产手术。术中严密监测有创动脉压、中心静脉压、血糖浓度与电解质。 结果3例患者纵切口剖宫产手术均成功实施。1例患者术中血流动力学平稳,2例患者术中血流动力学有波动。3例患者胎儿1、5 min Apgar评分均为10分。剖宫产术后转入泌尿外科行肿瘤切除术,经病理确诊腹膜后占位为肾上腺嗜铬细胞瘤。 结论术前正确的诊断、充分的准备、严密的监测与术中管理,是妊娠合并嗜铬细胞瘤手术麻醉成功的关键所在。

    Release date: Export PDF Favorites Scan
  • 未诊断的肝脏异位嗜铬细胞瘤术中突发严重高血压处理一例

    Release date: Export PDF Favorites Scan
  • Atypical Adrenal Phaeochromocytoma: A Retrospective Clinical Study

    Objective To retrospectively analyze the clinical information of a series of patients with atypical adrenal phaeochromocytoma in order to improve the diagnosis of atypical phaeochromocytoma. Methods Ninety patients diagnosed pathologically as adrenal phaeochromocytoma from January 1998 to December 2004 in the Affiliated Hospital of Inner Mongolia Medical College were included in the study. Patients with phaeochromocytoma were classified into the typical group and atypical group based on their clinical manifestations. The differences were analyzed between the two groups in terms of patient age, tumor location and maximal diameter, incidence of hypertension, and plasma catecholamine level. Results About 24.4% (22/90) of the patients with phaeochromocytoma were classified as atypical. There was no significant difference in the maximal tumor diameter between the two groups. The plasma norepinephrine level of the atypical group was significantly lower than that of the typical group (P=0.001), and the positive rate of plasma norepinephrine of the atypical group was also lower than that of the typical group (P=0.003). Conclusion  Compared with typical phaeochromocytoma, atypical phaeochromocytoma is associated with a lower plasma norepinephrine level. The size of adrenal tumor cannot contribute to the diagnosis of atypical phaeochromocytoma. Based on atypical manifestations, CT examination results, and plasma catecholamine level, most atypical phaeochromocytoma should be diagnosed correctly.

    Release date:2016-08-25 03:36 Export PDF Favorites Scan
  • Progress in the diagnosis and treatment of catecholamine-induced cardiomyopathy in pheochromocytoma/paraganglioma

    Catecholamine-induced cardiomyopathy in pheochromocytoma/paraganglioma (PPGL) is a potential fatal cardiovascular complication caused by excessive secretion of catecholamines by PPGL, leading to structural changes and functional abnormalities in the heart. According to the morphology and function of the heart, it is clinically divided into three types: dilated cardiomyopathy, Takotsubo cardiomyopathy, and hypertrophic cardiomyopathy. The treatment of catecholamine-induced cardiomyopathy in PPGL requires attention to drug selection, application of life support equipment, and perioperative management. Most patients with cardiac dysfunction can effectively improve after tumor resection. This article mainly reviews the diagnosis and treatment of catecholamine-induced cardiomyopathy in PPGL.

    Release date:2024-05-28 01:17 Export PDF Favorites Scan
  • RET 基因突变致多发性内分泌腺瘤合并儿茶酚胺心肌病一例

    Release date:2025-07-29 05:02 Export PDF Favorites Scan
  • 首诊眼科的儿童嗜铬细胞瘤一例

    Release date:2016-09-02 05:51 Export PDF Favorites Scan
2 pages Previous 1 2 Next

Format

Content