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病人,男,34岁。发现腹部包块伴隐痛7年,于1991年5月14日入院。查体:血压16/10kPa。左中腹部触及约6cm×5cm大小的包块,固定。血生化检查在正常范围。ECG示窦速,心肌损害,左室大。B超、CT检查,提示腹膜后肿瘤。拟在全身麻醉下行剖腹探查术。入室后血压18/12kPa,心率82次/min,麻醉诱导及气管内插管顺利。切应时血压升至24/13kPa,疑麻醉浅,经加深麻醉血压不降。手术挤压肿瘤时,血压骤升至36/19kPa,心率130次/min,诊断嗜铬细胞瘤无疑。即增加静脉开放,行平均
Patient, male, 34 years old. He found abdominal mass with pain for 7 years and was admitted to hospital on May 14, 1991. Physical examination: blood pressure 16/10 kPa. The left middle abdomen touches a mass of about 6cm x 5cm and is fixed. Blood biochemical tests are in the normal range. ECG showed sinus speed, myocardial damage, and left ventricular mass. B-ultrasound, CT examination, suggesting retroperitoneal tumors. It is planned to perform laparotomy under general anesthesia. After admission, blood pressure was 18/12kPa, heart rate was 82 beats/min, induction of anesthesia and tracheal intubation were smooth. When the blood pressure rose to 24/13kPa, the suspected anesthetic was shallow and the anesthetic blood pressure did not decrease after deepening. When surgically squeezing the tumor, the blood pressure suddenly rose to 36/19 kPa and the heart rate was 130 beats/min. The diagnosis of pheochromocytoma was no doubt. Increased venous opening, average line