Johnson Rebecca L, Arendt Katherine W, Rose Carl H, Kinney Michelle A O
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
J Clin Anesth. 2013 Dec;25(8):672-4. doi: 10.1016/j.jclinane.2013.04.015. Epub 2013 Aug 27.
Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia.
一位经产妇在剖宫产脊髓麻醉后出现严重低血压且对传统血管升压药治疗无效。产后继发性高血压评估显示诊断为嗜铬细胞瘤。嗜铬细胞瘤被误诊为子痫前期，因脊髓麻醉导致低血压而需要大量血管升压药治疗。如果在怀孕期间诊断出嗜铬细胞瘤且需要剖宫产，脊髓麻醉可能不是最佳的麻醉选择。
