嗜铬细胞瘤诊断及治疗(附132例报告)
3.2.2术中、术后处理肾上腺嗜铬细胞瘤多经腰部11肋途径，瘤体较大者(直径大于5 cm)则以经腹途径为宜，术中开辟3条通道，2条用于输液及调节血压药物的输注，1条用于监测CPV。术中若血压过高则静滴硝普钠、 酚妥拉明等药物降压，摘除肿瘤后若血压偏低则静脉滴注去甲肾上腺素升压，并加快输液速度。术后应密切观察生命体征变化，特别注意血压变化，若出现低血压，则加快补液及应用升压药物，老年人应预防肺水肿、 心衰等并发症。
[参考文献]
[1]Paul HL， Robert BJ，Rajuant M.A clinically “silent” pheochromocytoma with spontaneous hemorrhage[J]. J Urol，1997,138:1429.
[2]Graham PE，Symthe GA， Edwards GA，et al. Laboratory diagnosis of pheochromocytoma: which analystes should we measure?[J] Ann Clin Biochem,2003,30:129.
[3]Antonio ML， Maria AA， Berrenice BM，et al. Pheochromocytoma: study of 50 cases[J].J Urol，1999,157:1209-1210.
[4]Naguib AS， Robert CH， Paul ES. Diagnosis，localization and management of pheochromocytoma[J].Cancer，2002,76:2457.
[5]Teruhiro N，Yoko K，Isoji S，et al. Remarkably suppressed manganese superoxide dismutase activity in m alignant pheochromocytoma[J].J Urol，2005,163:1789.
[6]Nativ O，Grant CS，Sheps SG,et al. The clinical significance of nuclear DNA ploidy pattern in 184 patients with pheochromocytoma[J].Cancer，2003,93:178.
[7]James CV， David AG， Emmanuel LB，et al.Successful outcomes in pheochromocytoma in the modern era[J]. J Urol，2004,166:765-766.
(收稿日期：2008-03-04), 百拇医药(张淑建)
[参考文献]
[1]Paul HL， Robert BJ，Rajuant M.A clinically “silent” pheochromocytoma with spontaneous hemorrhage[J]. J Urol，1997,138:1429.
[2]Graham PE，Symthe GA， Edwards GA，et al. Laboratory diagnosis of pheochromocytoma: which analystes should we measure?[J] Ann Clin Biochem,2003,30:129.
[3]Antonio ML， Maria AA， Berrenice BM，et al. Pheochromocytoma: study of 50 cases[J].J Urol，1999,157:1209-1210.
[4]Naguib AS， Robert CH， Paul ES. Diagnosis，localization and management of pheochromocytoma[J].Cancer，2002,76:2457.
[5]Teruhiro N，Yoko K，Isoji S，et al. Remarkably suppressed manganese superoxide dismutase activity in m alignant pheochromocytoma[J].J Urol，2005,163:1789.
[6]Nativ O，Grant CS，Sheps SG,et al. The clinical significance of nuclear DNA ploidy pattern in 184 patients with pheochromocytoma[J].Cancer，2003,93:178.
[7]James CV， David AG， Emmanuel LB，et al.Successful outcomes in pheochromocytoma in the modern era[J]. J Urol，2004,166:765-766.
(收稿日期：2008-03-04), 百拇医药(张淑建)