Agarwal Anil, Khanna Puneet, Narayanawamy Suryakumar, Prasad Ganga, Borle Anuradha
Departments of Anaesthesia and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
Indian J Anaesth. 2011 Nov;55(6):614-7. doi: 10.4103/0019-5049.90622.
Phaeochromocytoma is a rare cause of hypertension during pregnancy with potentially fatal consequences. If not detected and treated early in pregnancy, it is catastrophic for both the mother and the baby. Management requires close co-ordination between the obstetrician, anaesthesiologist, paediatrician and the endocrinologist. Perioperative management for an emergency caesarean section in a parturient with untreated phaeochromocytoma is an anaesthetic challenge and no standard recommendations have been reported till date. In this case report, we present anaesthetic management in such a case with successful maternal and foetal outcome.
嗜铬细胞瘤是妊娠期高血压的罕见病因,可能导致致命后果。如果在孕期未早期发现并治疗,对母亲和胎儿来说都是灾难性的。管理需要产科医生、麻醉医生、儿科医生和内分泌科医生密切协作。对于患有未治疗的嗜铬细胞瘤的产妇,急诊剖宫产的围手术期管理是一项麻醉挑战,迄今为止尚无标准建议报道。在本病例报告中,我们介绍了此类病例的麻醉管理,母婴结局良好。