Pheochromocytoma-麻醉 1例報告
Pheochromocytoma-Anesthetic Experience with a Case
곽일용, 金光宇,
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곽일용 ( ) - 서울대학교 의과대학 마취과학교실
金光宇 ( ) - 서울대학교 醫科大學 麻醉科學敎室
KMID : 0356919700030010051
Abstract
An anesthetic experience with right adrenalectomy for pheochroinocytonia in a 24 year-old woman has been reported. Thiopental was used for induction followed by nitrous oxide-oxygenfluothane supplemented with fractional doses of morphine for analgesia and succinylcholine (0. 1 per cent intravenous drip) for muscular relaxation. An endotracheal semi-closed circle absorption technique with controlled ventilation was employed.
The patient tolerated the ansthesia and surgery well with appropriate cardiovascular control -using Regitine to suppress excessive hypertension and Levophed, whole blood and cortisone to Importance of preoperative preparation, sufficient sedation, smooth induction, complete analgesia, :good muscular relaxation, adequate alveolar ventilation and proper cardiovascular control has been stressed and discussed together with the choice of anesthetic agent and technique.
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