文章报道了1例未预计的前列腺副神经瘤的麻醉处理过程。患者在麻醉诱导和手术内镜操作时出现高血压危象，BP控制后继续完成前列腺剜除手术，术中高血压危象发生时留取血样的儿茶酚胺检测结果、术后组织病理及免疫组化结果证实该例患者为前列腺副神经节瘤。患者预后良好。术中未预计的嗜铬细胞瘤或副神经节瘤是麻醉医师围手术期面临的重大挑战，为临床提供借鉴。
This case reported an anesthetic management of an unexpected prostatic paraganglioma. The patient had a hypertension crisis during anesthetic induction and endoscopic surgical procedure.Surgery continued after the patient's blood pressure was controlled. Prostatic paraganglioma was confirmed by plasma catecholamines test which was taken during hypertensive crisis and pathological and immunohistochemical results after surgery. The prognosis of the patient was good. Unexpected pheochromocytoma or paraganglioma is a great challenge for anesthesiologists during surgeries, and we hope this article would provide some reference for the management of this clinical situation.
Cited
)
