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湖南六旬老人肝内长巨瘤 一年四季大汗淋漓--亲稳网络舆情监控室
2012-12-25
中新网长沙12月25日电(鲁毅 梁辉)湖南一位64岁老人每天大汗淋漓,即使是在寒冷的冬季也不例外,且血压高到连药物都难以控制,经诊断是因老人肝脏内长了一个巨大的嗜铬细胞瘤引起的。
Beijing on December 25, changsha(LuYi liou j w)Hunan a 64 - year - old old man working every day,Even in the cold winter is no exception,High blood pressure and even drugs are difficult to control,The diagnosis is for the old man in the liver long a giant pheochromocytoma cause.
这位名叫魏春林的老人近日在湖南省人民医院肝胆医院接受了细胞瘤切除手术。该医院采取的“先切断肿瘤血流供应再切除肝脏”的创新方法,成功切除了老人肝内的6×6×7cm大小的嗜铬细胞瘤,解除了魏老的苦恼。
The old man named WeiChunLin recently in hunan province people's hospital treating hospital accepted cell tumor resection.To the hospital"First cut the tumor blood supply to liver resection"Innovation method,The old man success resection of liver inside 6 x 6 by seven cm size of pheochromocytoma,Remove the w old misery.
其实早在1992年,魏春林就因“肾上腺嗜铬细胞瘤动过一次手术。“那时候经常觉得头晕,没有力气。”老人回忆道,经医院诊断被确诊为“肾上腺嗜铬细胞瘤”,血压持续偏高。通过手术,身体有所恢复。但在术后三年,他再次出现了血压增高的情况,最高时达到220/120mmhg,尽管服用了药物,血压也一直不能恢复正常。
In fact as early as in 1992,WeiChunLin for"Adrenal pheochromocytoma moved an operation."That time often feel dizzy,Don't have the strength."The old man remembered,The hospital diagnosis are identified as"Adrenal pheochromocytoma",Constantly high blood pressure.Through the operation,Body resumed.But in the three years,He again increased blood pressure,The highest reached 220/120 MMHG,Although taking drugs,Blood pressure and can't return to normal.
时至去年下半年,魏老开始每天大汗淋漓。“秋冬季节,他的汗也像是在三伏天一样不停地流,甚至一天要换5次衣服。”魏老的妻子说,“近几个月来,老人的食欲也大不如前。”感觉越来越不对劲的魏春林于今年11月来到湖南省人民医院就诊,被确诊为“肝内嗜铬细胞瘤、胆囊多发结石、双肾复发囊肿”,需要再次进行细胞瘤切除手术。
Until the second half of last year,W old start working every day."Qiu dong season,His sweat also like in the dog days as kept flow,Even a day to change clothes five times."W old wife said,"In recent months,The old man's appetite also not as good as before."The feeling is getting more and more WeiChunLin's wrong with this November came to hunan provincial people's hospital,Are identified as"Intrahepatic pheochromocytoma/Gallbladder multiple stones/Double kidney cyst recurrence",Need to conduct another cell tumor resection.
嗜铬细胞瘤多发于肾上腺,发生在肝脏是极为罕见的。嗜铬细胞瘤最典型的表现是恶性高血压,除血压本身很高之外,血压还可能随时骤升骤降,犹如“过山车”。这是因为嗜铬细胞瘤大量分泌一种名为儿茶酚氨的物质,此物质一旦与血液接触,将使血管收缩,引起人体血压升高。
Pheochromocytoma happens in adrenal gland,Occurred in the liver is extremely rare.Pheochromocytoma the most typical performance is malignant hypertension,In addition to high blood pressure itself outside,Blood pressure may at any time plunged sharply,like"Roller coaster".This is because a large number of pheochromocytoma, secrete a kind of catecholamine material,This matter once and blood contact,Will make vasoconstriction,Cause human body blood pressure increases.
据湖南省肝胆医院院长吴金术教授介绍,由于患者属于高龄,且多年患有高血压,再加上曾经做过一次大型的手术,本次手术十分危险、艰难。在手术过程中,一旦血压出现急剧波动,极易引发心肌梗塞、脑梗塞等危及生命的情况。
According to the hospital of hunan province courage WuJin professor operation is introduced,In patients with belong to the old,For many years and have high blood pressure,Plus did a big operation,This operation is very dangerous/difficult.In the operation process,Once the blood pressure by the sudden fluctuation,Easily cause myocardial infarction/Cerebral infarction and life-threatening conditions.
针对老人的病情,湖南省肝胆医院做了近一个月的术前准备,通过两次方案讨论。最后,创新性地采取“先切断肿瘤血流供应,再切除肝脏”的方法,首先切断肿瘤的血流供应,然后再切除肿瘤及受累的右半肝,成功避免了患者在手术中出现高血压的危象。术后患者康复顺利,已于12月24日出院。
According to the old man's condition,Hunan courage hospital for nearly a month of preoperative preparation,Through the two plan to discuss.finally,Innovation to"First cut the tumor blood supply,Then the liver resection"method,First cut the tumor blood supply,And then to remove the tumor and the affected right liver,Managed to avoid the surgery in patients with high blood pressure appear in the crisis.Postoperative patients recovering well,Already on December 24 release from the hospital.
吴金术介绍,根据湖南医学情报所文献检索显示,国内外目前已有多例通过血管阻断进行肾上腺嗜铬细胞瘤外科手术的成功例子,但应用于肝脏嗜铬细胞瘤外科手术还没有相关文献报道。这次成功运用将为往后病例提供有效参考,也将为肝脏嗜铬细胞瘤患者带来福音。(完)
WuJin technique is introduced,According to the hunan QingBaoSuo medical literature retrieval display,There are many cases at home and abroad by vascular block for adrenal pheochromocytoma surgical success example,But used in liver pheochromocytoma surgery still does not have relevant reports in the literature.The successful application cases for back provide effective reference,Will also be liver pheochromocytoma patients to bring the Gospel.(finish)
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