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嗜铬细胞瘤危象——体外膜肺氧合的罕见适应证。

Phaeochromocytoma crisis--a rare indication for extracorporeal membrane oxygenation.

作者信息

Chao A, Yeh Y C, Yen T S, Chen Y S

机构信息

Department of Anaesthesia and Intensive Care, National Taiwan University Hospital, 7, Chung-Shan S. Road, Taipei, 100, Taiwan.

出版信息

Anaesthesia. 2008 Jan;63(1):86-8. doi: 10.1111/j.1365-2044.2007.05251.x.

Abstract

We report on a case of phaeochromocytoma whose initial presentation mimicked an acute myocardial infarction. Veno-arterial extracorporeal membrane oxygenation was used for the management of refractory cardiogenic shock and massive lung oedema. Suspicion and diagnosis of a phaeochromocytoma were made due to its unique clinical presentation during extracorporeal membrane oxygenation. Stabilisation of the crisis and recovery of cardiopulmonary function were achieved using the support of extracorporeal membrane oxygenation. This case highlights the difficulty in the differential diagnosis of cardiogenic shock secondary to phaeochromocytoma and the important role of extracorporeal membrane oxygenation can have in the successful resuscitation and management of these patients.

摘要

我们报告一例嗜铬细胞瘤病例,其最初表现类似急性心肌梗死。采用静脉 - 动脉体外膜肺氧合技术治疗难治性心源性休克和大量肺水肿。由于其在体外膜肺氧合期间独特的临床表现,怀疑并诊断为嗜铬细胞瘤。在体外膜肺氧合的支持下实现了危象的稳定和心肺功能的恢复。该病例突出了嗜铬细胞瘤继发心源性休克鉴别诊断的困难,以及体外膜肺氧合在这些患者成功复苏和管理中可发挥的重要作用。

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