足月产妇骶尾部畸胎瘤伴镜影综合征，hCG 升高继而发生甲状腺功能亢进症的麻醉管理。

Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism.

机构信息

Department of Anesthesiology, Magee-Womens Hospital, Pittsburgh, PA 15213, USA.

出版信息

J Clin Anesth. 2009 Nov;21(7):521-4. doi: 10.1016/j.jclinane.2008.11.012.

DOI:10.1016/j.jclinane.2008.11.012

PMID:20006261

Abstract

Mirror syndrome is a condition in which the mother "mirrors" her hydropic fetus and/or hydropic placenta. Physical and laboratory findings of mirror syndrome include generalized edema, hypertension, and proteinuria similar to preeclampsia. However, unlike preeclampsia, mirror syndrome is associated with hemodilutional anemia and fluid overload, which may progress to pulmonary edema. The anesthetic management of a parturient with fetal sacrococcygeal teratoma, hydrops fetalis, and mirror syndrome complicated by markedly elevated maternal serum human chorionic gonadotropin and subsequent clinical hyperthyroidism, is presented.

摘要

镜像综合征是一种母体“镜像”其水肿胎儿和/或水肿胎盘的病症。镜像综合征的体格检查和实验室发现包括类似于先兆子痫的全身性水肿、高血压和蛋白尿。然而，与先兆子痫不同的是，镜像综合征与血液稀释性贫血和液体超负荷有关，这可能进展为肺水肿。本文介绍了一例伴有胎儿骶尾部畸胎瘤、胎儿水肿和镜像综合征的产妇的麻醉管理，该患者伴有母体血清人绒毛膜促性腺激素显著升高，并随后出现临床甲状腺功能亢进。