Kariya Nobutaka, Nishi Shinichi, Hosono Yukako, Hamaoka Naoya, Nishikawa Kiyonobu, Asada Akira
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka 545-8586, Japan.
J Clin Anesth. 2005 Jun;17(4):296-9. doi: 10.1016/j.jclinane.2004.07.006.
Pregnancy complicated by pheochromocytoma is potentially fatal. Pregnancy and labor increase the risk of hypertensive crisis as it may occur with the sudden release of catecholamine accompanying uterine contractility and straining. However, antepartum diagnosis reduces both maternal and fetal mortality, allowing for safe cesarean section and resection of tumor. We describe the management of perioperative hypertension for combined cesarean section and pheochromocytoma resection.
妊娠合并嗜铬细胞瘤有潜在致命风险。妊娠和分娩会增加高血压危象的风险，因为子宫收缩和用力时可能伴随儿茶酚胺的突然释放而发生高血压危象。然而，产前诊断可降低母婴死亡率，从而能够安全地进行剖宫产和肿瘤切除。我们描述了剖宫产联合嗜铬细胞瘤切除术中围手术期高血压的处理方法。
