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갈색세포종(Pheochromocytoma) 적출술의 마취경험 2례
강기택,우성,조강희 인제대학교 1991 仁濟醫學 Vol.12 No.4
갈색세포종의 치료로서 부신적출술 2회를 경험하였는바 적절한 혈압을 유지하기 위해 수술전에 prazocin을 투여하였고 수술중에는 SNP와 propranolol을 정주하였으며 종양 제거후에는 수액, 혈액 및 phenylephrine, epinephrine 또는 norepinephrine으로 혈압을 유지하여 큰문제 없이 마취를 마칠 수 있었기에 보고하고자 한다. Authors had anesthetic experiences with two cases of adrenalrectomy for pheochromocytoma, one was unilateral and the other was bilateral tumor. The patients were treated with prazosin preoperatively to control the blood pressure. For the control of blood pressure during surgical manupulation, we used sodium nitroprusside and propranolol infusion. After tumor resection, blood pressure was maintained by intravenous fluid, whole blood and administration of some phenylephrine, epinephrine or norepinepheine. The patients tolerated anesthesia and surgery well despise the serious episodes of hemodynamic changes. We felt that perioperative management of patients with pheochromocytoma is still challenging for the anesthesiologist.