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报告经腹手术治疗嗜铬细胞瘤34例,除2例因与腹主动脉、下腔静脉及髂血管严重粘连未能摘除外,余32例(30例肿瘤、2例髓质增生)全部手术切除,无一例死亡。本文简述了本病的经腹手术方法及其优越性,术前应用α-阻滞剂酚苄明结合补充血容量的重要性及手术操作中的注意事项。特别提出肿瘤切除前在酚妥拉明维持下需将血容量补足,肿瘤切除后要注意血压是否迅速下降以预测有无另一肿瘤的存在。
Report of abdominal surgery in 34 cases of pheochromocytoma, in addition to 2 cases due to serious adhesions with the abdominal aorta, inferior vena cava and iliac vessels failed to remove, the remaining 32 cases (30 cases of tumor, 2 cases of medullary hyperplasia) all the operations Excision, no one died. This article describes the method of abdominal transabdominal surgery and its superiority, preoperative application of α-blocker phenoxybenzamine combined with the importance of blood volume and surgical precautions. In particular, before tumor resection in the maintenance of phentolamine need to make up the blood volume, tumor resection should pay attention to whether the rapid decline in blood pressure to predict the presence or absence of another tumor.