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我院于1995年1月行首例儿童嗜铬细胞瘤摘除术麻醉,现介绍如下。 患儿男性,10岁,18kg,反复头痛伴抽风10d入院。脑脊液检查:压力200mmH_2O,生化指标正常。心电图:窦速。入院19d,患儿头胀痛、出汗、测血压34/20kPa,予利血平75mg降压治疗。经查B超,CT诊断为双侧肾上腺占位病变(嗜铬细胞瘤)。尿儿茶酚胺7657.7umol/d,VMA118.9umol/d,术前给予苯苄胺10mg3次/日,治疗8d,补充血浆300ml,血压维持在20/18kPa。 麻醉选择和经过 术前东莨菪碱0.2mg肌注。入室测血压16/10kPa,P130bpm,心电图示:窦速,面罩去氮给氧5min,静注度非合剂1/4量2％硫喷妥钠12ml,琥珀胆碱50mg诱导气管插管,以紧闭吸入异氟醚,
Our hospital in January 1995 the first case of children with pheochromocytoma anesthesia, are described below. Children with children, 10 years old, 18kg, repeated headache with ventilation 10d admission. Cerebrospinal fluid examination: pressure 200mmH_2O, normal biochemical indicators. Electrocardiogram: sinus speed. Admission 19d, children with head pain, sweating, blood pressure 34 / 20kPa, to reserpine 75mg antihypertensive treatment. The investigation of B-, CT diagnosis of bilateral adrenal lesions (pheochromocytoma). Urinary catecholamines 7657.7umol / d, VMA118.9umol / d, preoperative benzene benzylamine 10mg3 times / day, treatment 8d, add plasma 300ml, blood pressure maintained at 20 / 18kPa. Anesthesia selection and preoperative scopolamine 0.2mg intramuscular injection. Into the room to measure blood pressure 16 / 10kPa, P130bpm, ECG: sinus speed, mask oxygen to nitrogen 5min, intravenous injection of non-dose 1/4 2% thiopental sodium, succinylcholine 50mg induced tracheal intubation to tight Closed inhalation isoflurane,