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妊娠期以高血压为表现的嗜铬细胞瘤。

Pheochromocytoma presenting as hypertension in pregnancy.

作者信息

Londhey Vikram A, Kulkarni Vrinda K

机构信息

Department of Medicine, T.N. Medical College and B.Y.L. Nair Ch. Hospital, Mumbai 400008.

出版信息

J Assoc Physicians India. 2010 Aug;58:508-10.

Abstract

Pheochromocytoma is a curable, rare cause of hypertension, characterized by symptoms and signs related to increased catecholamine secretion. Pregnancy and labour increase the risk of hypertensive crisis. However, antepartum diagnosis reduces both maternal and foetal mortality, allowing for safe cesarean section and resection of tumor. Control of hypertension with alpha blockers and beta blockers is the medical treatment. Surgical removal of the tumour is the definitive treatment. Hypertensive crisis needs to be treated aggressively. We report this case for the rare presentation of pheochromocytoma presenting as hypertension in pregnancy.

摘要

嗜铬细胞瘤是一种可治愈的、导致高血压的罕见病因,其特征为与儿茶酚胺分泌增加相关的症状和体征。妊娠和分娩会增加高血压危象的风险。然而,产前诊断可降低孕产妇和胎儿死亡率,从而能够安全地进行剖宫产和肿瘤切除。使用α受体阻滞剂和β受体阻滞剂控制高血压是药物治疗方法。手术切除肿瘤是确定性治疗。高血压危象需要积极治疗。我们报告此病例,是因为嗜铬细胞瘤在妊娠时表现为高血压这种罕见情况。

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