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嗜铬细胞瘤危象伴心源性休克。

Pheochromocytoma crisis presenting with cardiogenic shock.

作者信息

Chatzizisis Y S, Ziakas A, Feloukidis C, Paramythiotis D, Hadjimiltiades S, Iliadis A, Basdanis G, Styliadis I

机构信息

First Department of Cardiology, AHEPA University Hospital, Aristotle University Medical School, 1 Stilponos Kyriakidi Street, 54636, Thessaloniki, Greece,

出版信息

Herz. 2014 Feb;39(1):156-60. doi: 10.1007/s00059-013-3778-2. Epub 2013 Mar 14.

Abstract

Pheochromocytoma is a catecholamine-secreting tumor of the adrenal glands whose typical presentation includes the triad of headache, palpitations, and diaphoresis. Pheochromocytoma crisis is an urgent medical condition whose diagnosis and management constitute a challenge for physicians. We present the case of a 55-year-old man who developed cardiogenic shock in the setting of a pheochromocytoma crisis. After stabilizing blood pressure with combined administration of α- and β-blockers, the tumor was surgically removed. Our diagnostic and therapeutic challenges are discussed.

摘要

嗜铬细胞瘤是一种分泌儿茶酚胺的肾上腺肿瘤,其典型表现包括头痛、心悸和多汗三联征。嗜铬细胞瘤危象是一种紧急医疗状况,其诊断和处理对医生构成挑战。我们报告一例55岁男性在嗜铬细胞瘤危象情况下发生心源性休克的病例。在联合使用α和β受体阻滞剂稳定血压后,手术切除了肿瘤。我们讨论了诊断和治疗方面的挑战。

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