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[自发性脾破裂揭示嗜铬细胞瘤]

[Spontaneous splenic rupture disclosing a pheochromocytoma].

作者信息

Petitjean M E, Riant T, Tentiller E, Simonnet G, Janvier G, Erny P

机构信息

Service de réanimation traumatologique et post-chirurgicale, Pellegrin, Bordeaux, France.

出版信息

Can J Anaesth. 1992 May;39(5 Pt 1):495-8. doi: 10.1007/BF03008715.

Abstract

Clinical manifestation of a phaeochromocytoma may range from no symptoms to an acute abdominal emergency. These abdominal emergencies are related to haemorrhagic necrosis of the tumour, or massive bleeding in the retroperitoneal space. The authors report a case of splenic rupture revealing a phaeochromocytoma. The mechanism of splenic rupture is discussed as is the conservative treatment of phaeochromocytoma during splenic surgery. The authors observed no correlation between plasma catecholamine concentration and blood pressure.

摘要

嗜铬细胞瘤的临床表现可能从无症状到急性腹部急症不等。这些腹部急症与肿瘤的出血性坏死或腹膜后间隙的大量出血有关。作者报告了一例因脾破裂而发现嗜铬细胞瘤的病例。本文讨论了脾破裂的机制以及脾手术期间嗜铬细胞瘤的保守治疗方法。作者观察到血浆儿茶酚胺浓度与血压之间无相关性。

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