非体外循环冠状动脉搭桥术治疗肾上腺嗜铬细胞瘤的麻醉管理。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Hiroki Taenaka, Tatsuyuki Imada, Shunsuke Yamamoto, Takeshi Iritakenishi, Kenta Okitsu, Takahiko Kamibayashi, Yuji Fujino

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引用次数: 0

摘要

一例64岁男性嗜铬细胞瘤患者行非体外循环冠状动脉旁路移植术。确定手术顺序、术前医疗管理和术中血流动力学管理在这些病例中很重要。虽然大剂量给药苯肾上腺素反应不佳，但手术过程顺利，患者在整个手术过程和围手术期保持血流动力学稳定。

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[Anesthetic Management of Off-pump Coronary Artery Bypass Grafting in a Patient with Adrenal Pheochromocytoma].

A 64-year-old male patient with pheochromocytoma underwent an off-pump coronary artery bypass graft- ing. Determination of order of surgeries, preoperative medical management and intraoperative hemodynamic management are important in these cases. Al- though bolus administration of phenylephrine showed poor response, the surgery was uneventful and the patient remained hemodynamically stable throughout the procedure and perioperative period.

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Masui. The Japanese journal of anesthesiology

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