《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (05): 306-307.

• 临床研究 • 上一篇    下一篇

腹膜后副神经节瘤术中合并血压增高的防治

尹太; 李荣; 郭伟; 陈凛   

  1. 解放军总医院普通外科 北京市 100853
  • 收稿日期:2004-05-09 出版日期:2004-05-25 发布日期:2004-05-25

Prevention and treatment of hypertension induced in retroperinoneal paraganglioma operation

YIN Tai,LI Rong,GUO Wei, et al   

  1. The General Surgery Department, General Hospital of PLA, Beijing 100853,China
  • Received:2004-05-09 Published:2004-05-25 Online:2004-05-25

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摘要： 目的探讨腹膜后副神经节瘤术中并发高血压的机理和防治。方法对15例腹膜后副神经节瘤手术过程中血压进行监测,重点研究腹膜后副神经节瘤术中引起血压变化的原因和防治。结果发现术中12例并发血压增高,肿瘤切除后血压均有不同程度回落,其中2例低于正常。结论腹膜后副神经节瘤术中易并发血压增高,与麻醉诱导和术中肿瘤受到刺激有关。肿瘤切除后多数患者血压有不同程度降低。因此,腹膜后副神经节瘤术中应密切监测血压变化,及时应用短效降压药,同时还要注意肿瘤切除后低血压发生。

关键词: 腹膜后副神经节瘤, 手术, 血压

Abstract: ObjectiveTo explore the mechanism and prevention for the hypertension complicated by the retroperinoneal paraganglioma operation.MethodsBlood pressures were monitored during operations on 15 patients with retroperinoneal paraganglioma. Also,the reason and the prevention for the changed blood pressure were studied emphatically during operation.ResultsThe elevated blood pressure of 12 patients was detected during operation,and all dropped to a varied degree after operation,with 2 of them below the normal value.ConclusionThe retroperinoneal paraganglioma operation was liable to cause blood pressure elevated,which was related to the anesthesia induction and the operation stimulation of tumor. After the excision of the tumor,blood pressure of most of the patients dropped to some degree. Therefore,during the retroperinoneal paraganglioma operation,the blood pressure should be monitored closely,and the short-acting antihypertensives should be applied on time. Meantime,occurrence of hypotension was also considered after the excision of the tumor.

Key words: retroperinoneal paraganglioma, operation, blood pressure