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摘要: 肾上腺肿瘤术后顽固性低血压临床上较为少见，国内外仅见零星个案报道，本文报道1例66岁女性患者，因左侧腰痛不适1年，发现左侧肾上腺占位1周入院。术前诊断为左侧肾上腺肿瘤、高血压、甲状腺次全切术后。于腹腔镜下实施左侧肾上腺部分切除术，术后患者出现进行血压下降，通过积极补液、大剂量激素和肾上腺素能受体激动剂治疗无效，加用垂体后叶素有效。本文通过回顾性分析肾上腺肿瘤患者的病例资料、术前准备、术中及术后诊疗措施，分析术后出现顽固性低血压的原因，总结加用垂体后叶素抢救成功的经验。Abstract: Refractory hypotension after adrenal tumor operation is relatively rare in clinic, and only sporadic cases have been reported at home and abroad. This paper reports a 66-year-old female patient who was admitted to the hospital because of left low back pain for 1 year and left adrenal mass for 1 week. Preoperative diagnosis was left adrenal tumor, hypertension, and partial thyroidectomy. After laparoscopic partial adrenalectomy on the left side, the patient experienced a decrease in blood pressure after surgery, which failed to be treated with active fluid replacement, high-dose hormone and adrenergic receptor agonist, but pituitrin was effective. This paper retrospectively analyzed the case data, preoperative preparation, intraoperative and postoperative diagnosis and treatment measures of patients with adrenal tumor, analyzed the causes of postoperative refractory hypotension, and summarized the successful experience of adding pituitrin to rescue patients.
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Key words:
- adrenal tumors /
- hypotension /
- pituitrin /
- ɑ-receptor blocker
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