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一名近期诊断为嗜铬细胞瘤但未接受治疗的患者行急诊剖宫产的麻醉管理。

Anaesthetic management for emergency caesarean section in a patient with an untreated recently diagnosed phaeochromocytoma.

作者信息

Agarwal Anil, Khanna Puneet, Narayanawamy Suryakumar, Prasad Ganga, Borle Anuradha

机构信息

Departments of Anaesthesia and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Anaesth. 2011 Nov;55(6):614-7. doi: 10.4103/0019-5049.90622.

Abstract

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.

摘要

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。

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本文引用的文献

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Subarachnoid block for caesarean section in severe preeclampsia.重度子痫前期剖宫产蛛网膜下腔阻滞
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):169-73. doi: 10.4103/0970-9185.81821.
2
Pheochromocytoma in pregnancy: a case series and review.妊娠期嗜铬细胞瘤:病例系列报道与文献综述
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Phaeochromocytoma diagnosed during labour.分娩期间诊断出的嗜铬细胞瘤。
Br J Anaesth. 2000 Oct;85(4):635-7. doi: 10.1093/bja/85.4.635.
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Acute heart failure in the parturient--do not forget phaeochromocytoma.
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Anaesthesia for phaeochromocytoma in pregnancy.妊娠期嗜铬细胞瘤的麻醉
Can J Anaesth. 1997 Jun;44(6):654-7. doi: 10.1007/BF03015450.

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