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크롬친화세포종 수술의 마취 관리

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Affiliated Author(s)
김현지황일선강구정
Alternative Author(s)
Kim, Hyun JeeHwang, Il SeonKang, Koo Jeong
Journal Title
Keimyung Medical Journal
Issued Date
2013
Keyword
AnesthesiaPheochromocytoma
Abstract
Normotensive pheochromocytoma as incidentaloma detected during the surgery is a challenge for
the anesthesiologists, despite the advent of new drugs. A 53-year-old female patient was
referred for removal of a deep mesenteric mass suspected mucinous cyctic tumor. She was in
normal range of blood pressure and on medications for hyperthyroidism. There was a surge of
systolic blood pressure when the tumor was manipulated in the operation field, and extreme
fluctuations in blood pressure prevented the continuous infusion of intravenous antihypertensive
drugs. After ligation of the draining vein, decreased blood pressure needed vasopressors. Pathologic examination of the tissue confirmed the presence of pheochromocytoma. Preoperative management using α-adrenergic blockade is helpful for
abating hypertensive crisis during the surgery. When pheochromocytoma is suspected due to
sudden surge of blood pressure during the surgery, prompt and proper choices in the
management of blood pressure and volume status should be conducted and surgical method of
ligating draining vein may be needed.
Alternative Title
Anesthetic Management of a Surgery for Pheochromocytoma in a Patient without Pharmacologic Pretreatment
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Dept. of Pathology (병리학)
Dept. of Surgery (외과학)
Publisher
Keimyung University School of Medicine
Citation
김현지 et al. (2013). 크롬친화세포종 수술의 마취 관리. Keimyung Medical Journal, 32(2), 200–204.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15619
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2013
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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