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我科自1974～1986年共收治嗜铬细胞瘤12例,其中6例是近2年间诊治的。现就诊断和治疗上的一些体会总结如下。临床资料(见附表) 本组12例,男女各6例。年龄为17～66岁,10例在38岁以下。全麻7例,连续硬膜外5例。经腰部切口4例,经腹6例,耻骨上1例。经手术和病理切片证实的11例中,肾上腺内8例(单侧7例,双侧1例),肾上腺外3例;单发9例,多发2例,良性10例,可疑恶性1例。肿瘤最大为7×10×11cm,最小为0.8×1×1cm。11例无手术死亡。例2术前诊断明确,因麻醉诱导过程中
In our department, 12 cases of pheochromocytoma were treated from 1974 to 1986, of which 6 cases were diagnosed and treated in the past 2 years. Some experiences in diagnosis and treatment are summarized below. Clinical data (see attached table) 12 patients in this group, 6 males and 6 females. The age ranged from 17 to 66 years and 10 cases were under 38 years old. General anesthesia in 7 cases, continuous epidural in 5 cases. After the lumbar incision in 4 cases, 6 cases in the abdomen, 1 case in the suprapubic bone. Of the 11 cases confirmed by surgery and pathology, 8 were in the adrenal gland (7 in the unilateral and 1 in the bilateral) and 3 in the adrenal gland; 9 were single, 2 were multiple, 10 were benign, and 1 was suspicious. The maximum tumor size was 7×10×11 cm and the minimum was 0.8×1×1 cm. Eleven patients died without surgery. Example 2 Preoperative diagnosis is clear because of the induction of anesthesia