Adrenal pheochromocytoma Surgical Care.docVIP

 PAGE \* MERGEFORMAT 7 Adrenal pheochromocytoma Surgical Care [Abstract] adrenal pheochromocytoma originated in the chromaffin cells of embryonic chromaffin cells of sympathetic ganglia and physical distribution of the vast majority occur in the adrenal medulla, 90% of benign tumors. Pathophysiology is characterized by its The tumor cells can be paroxysmal or persistent to secrete large amounts of catecholamines, causing hypertension and a range of metabolic disorders syndrome [1] dangerous condition, variation. pheochromocytoma surgery is the most effective treatment. [Keywords] adrenal pheochromocytoma surgical care Clinical data: The group of patients with a total of 12 patients, 8 males, 4 females, aged 15-68 years, mean 43 years the patient mainly for the different degrees of hypertension, headache, palpitations, sweating and other symptoms by biochemical, B ultrasound, CT diagnosis of pheochromocytoma, postoperative pathologic examination confirmed the diagnosis of pheochromocytoma. 1 Preoperative preparation 1.1 Psychological care 1.1.1 pre-operative psychological analysis of patients with pheochromocytoma mental status are not the same with other diseases, in addition to surgery to patients with varying degrees of fear, anxiety, the tumors secrete large amounts of adrenaline due to kidney and gonadotropin, the patient’s mood has been in a state of high tension, so most patients will have surgery, anxiety, tension, fear, anxiety, depression, negative and pessimistic and other adverse psychological reactions, especially when close to the date of surgery, the patient’s anxiety performance even more. in this state will affect the patient’s appetite, sleep and rest, so that health decline, decline in tolerance for surgery because of their special characteristics of the pathophysiology of the tumor tissue secretion of epinephrine and norepinephrine led to addicted pheochromocytoma patients more prone to symptoms such as anxiety and ea