Perioperative management of adrenal cortical tumor in children

YE Mao; et al

doi:10.13406/j.cnki.cyxb.2004.03.051

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Perioperative management of adrenal cortical tumor in children

更新时间：2024-01-17

- Perioperative management of adrenal cortical tumor in children
- Journal of Chongqing Medical University Issue 3, Pages: 402-403(2004)
- 作者机构：
  
  1. 重庆医科大学儿科学院麻醉科
  2. 重庆医科大学儿科学院麻醉科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.03.051
  CLC： R736.6
- Published：2004，
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[1]叶茂,涂生芬.小儿肾上腺皮质肿瘤的围术期处理(附6例报告)[J].重庆医科大学学报,2004(03):402-403.

YE Mao, et al. Perioperative management of adrenal cortical tumor in children. [J]. Journal of Chongqing Medical University (3):402-403(2004)
[1]叶茂,涂生芬.小儿肾上腺皮质肿瘤的围术期处理(附6例报告)[J].重庆医科大学学报,2004(03):402-403. DOI： 10.13406/j.cnki.cyxb.2004.03.051.

YE Mao, et al. Perioperative management of adrenal cortical tumor in children. [J]. Journal of Chongqing Medical University (3):402-403(2004) DOI： 10.13406/j.cnki.cyxb.2004.03.051.

摘要

目的 :提高对小儿肾上腺皮质肿瘤的认识和诊治成功率。方法 :回顾性分析 6例小儿肾上腺皮质肿瘤的临床资料、诊断治疗、术前、术中及术后处理、病理和预后。结果 :本组 6例中 4例出现柯兴综合征

4例高血压

血糖增高 1例

低钾血症1例。 6例均经手术治疗

1例在术中出现Ⅲ度房室传导阻滞

抢救无效死亡。结论 :外科手术是肾上腺皮质肿瘤唯一有效的治疗方法

早期诊断、彻底手术是治疗本病的关键。围术期的适当处理是手术成功的重要保证。

Abstract

Objective:To evaluate the understanding and success rate in diagnosis and treatment of adrenal cortical tumor in children.Methods:6 cases were analyzed retrospectively about diagnosis

treatment

pathomorphological changes and prognosis.Results:6 cases of adrenal cortical tumor were treated surgically

which include 4 of cases Cushings syndrome

4 cases developed HBP

in 1 case developed hyperglycemia and in another case had hypokalemia developed.1 patient died of Ⅲ AVB(atrial ventricle block

AVB) during operation.Conclusion:Early diagnosis and early surgical interventions are crucial for treatment.Perioperative management plays an important role in improving prognosis.

关键词

肾上腺皮质肿瘤小儿诊断治疗围术期

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