摘要
一位新闻记者兼机器人与机器学习的新闻编辑每日新闻-副神经节瘤的新研究是一篇报道的主题。根据NewsRx记者从德国卢贝克发回的新闻报道,研究表明:“纵隔副神经节瘤很少见。它们的危险性可能在手术过程中显现出来,特别是在激素活动之前未知的情况下。”这项研究的财政支持来自德累斯顿技术大学。新闻记者从石勒苏益格-荷尔斯泰因大学医院获得了这项研究的引用,本文报告文献中非典型性纵隔副神经节瘤的发生率和定位。一位69岁的女性患者,因后纵隔肿瘤进展多年,症状加重,计划行胸腔镜手术。肺通气和肺分离后气体交换正常。在最初稳定的循环条件下,血压骤增至300/130mmHg,心动过速达130/min,这种高血压期难以影响,需要迅速、持续地使用降压药物使血压降至合理值,肿瘤切除后病人病情稳定,术后病程无明显变化,术中出现血压危象,术中出现血压危象,术中出现血压升高,术中采血进行分析。这些样本显示去甲肾上腺素和去甲肾上腺素浓度升高。肿瘤随后表现为分泌儿茶酚胺的节旁瘤。为了避免危及生命的血压危象,纵隔肿瘤术前应排除激素作用,在鉴别诊断时可考虑副神经节瘤,特别是在病史中有高血压指征的情况下。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News – New research on Paragangliomas is the subject of a report. According to news reporting from Lubeck, Germany, by NewsRx journalists, research stated, “Mediastinal paragangliomas are rare. Their dange rousness may unfold during surgery, especially if hormonal activity was previous ly unknown.” Financial support for this research came from Technische Universitat Dresden. The news correspondents obtained a quote from the research from University Hospi tal Schleswig- Holstein, “We report our experience with this case in context to t he incidence and localization of atypically located mediastinal paragangliomas i n the literature. A 69-year-old female patient who was scheduled for thoracoscop ic resection due to a posterior mediastinal tumor that had been progressing in s ize for several years and increasing symptoms. The induction of anesthesia, the ventilation of the lungs and the gas exchange after lung separation was uneventf ul. After initially stable circulatory conditions, there was a sudden increase i n blood pressure up to 300/130 mmHg and tachycardia up to 130/min. This hyperten sive phase was difficult to influence and required a rapid and consistent use of antihypertensive medication to bring down the blood pressure to reasonable valu es. The patient stabilized after tumor resection. The postoperative course was u nremarkable. During the intraoperative blood pressure crisis, blood was drawn fo r analysis. These samples showed elevated concentrations of normetanephrine and metanephrine. The tumor subsequently presented as a catecholamine-secreting para ganglioma. In order to avoid life-threatening blood pressure crises, hormone act ivity should be ruled out preoperatively in the case of mediastinal tumor, in wh ich a paraganglioma could be considered in the differential diagnosis, especiall y if there are indications of hypertension in the medical history.”