多种输血方式联合应用保障RhD阴性患者巨大肾上腺嗜铬细胞瘤的成功切除  

Combined use of various ways of blood transfusion for RhD negative patients with large adrenal pheochromocytoma resection

作　　者：徐智杰[1] 朱永亮[1] 周小玉[1] 

机构地区：[1]南京医科大学第一附属医院输血科,南京210029

出　　处：《临床血液学杂志（输血与检验）》2018年第1期157-158,共2页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：嗜铬细胞瘤是可以通过手术切除达到治愈的良性肿瘤,但是因为瘤体本身分泌儿茶酚胺有其特征性的循环特点,同时术中会引起患者血压波动,容易发生大出血,因此这类患者围手术期的术前准备相当重要。本例报道中的患者不仅有瘤体巨大挤压周边肝脏和胰腺等重要器官,手术难度和出血风险大,同时其血型还是Rh阴性稀有血型,大量备血困难。本例患者采用多种自体血方式联合异体血运用顺利完成了肿瘤的切除。Pheochromocytoma is a kind of benign tumor which can be cured by surgical resection.However,since catecholamine secreted by the tumor has the characteristic of circulating and the removal of the tumor can cause blood pressure fluctuations during the operation,which can lead to patients＇ bleeding.Perioperative preparation is quitely important for these patients.In this case,the patient reported not only faced the problem that the huge tumor extruded nearby important organs such as liver and pancreas making the surgery extremely difficult with high bleeding risk,but also was RhD negative blood type,a rare blood type in China-meaning great troubles in blood preparation.Hopefully,the patient＇s tumor was successfully resected by using a variety of autologous blood methods combined with the application of allogenetic blood.The case can set an example for similar situations.

关 键 词：多种输血方式 嗜铬细胞瘤 切除 

分 类 号：R457.1[医药卫生—治疗学]