“风暴之间的平静：”嗜铬细胞瘤患者儿茶酚胺危机的围手术期处理。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2025-04-14 DOI:10.4103/aam.aam_204_24

Rashmi R Aithal, Sonal Bhat, Shodhan R Pejavar, Samriddhi Dubey

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引用次数: 0

摘要

嗜铬细胞瘤（PCC）是一种起源于肾上腺髓质嗜铬细胞的分泌儿茶酚胺的肿瘤。由于血流动力学波动，PCC的麻醉管理具有挑战性。充分的术前评估和优化，细致的术中管理以及外科医生和麻醉师之间的良好沟通是确保患者安全的关键。这是一例成功的围手术期处理患者的PCC贴腹腔镜肾上腺切除术；当患者在术前出现儿茶酚胺危机时，由于血流动力学的广泛波动，使得围手术期管理更具挑战性。

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"The Calm between the Storms:" Perioperative Management of a Patient with Pheochromocytoma in Catecholamine Crisis.

Abstract: Pheochromocytoma (PCC) is a catecholamine-secreting tumor that originates from chromaffin cells in the adrenal medulla. Anesthetic management of PCC can be challenging due to hemodynamic fluctuations. Thorough preoperative evaluation and optimization, meticulous intraoperative management and good communication between surgeon and anesthetist are crucial for patient safety. This is a case report of successful perioperative management of patient with PCC posted for laparoscopic adrenalectomy; where the patient developed catecholamine crisis in the immediate preoperative period, making the perioperative management even more challenging due to widely fluctuating hemodynamics.

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来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

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期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.