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类癌危象继发的可逆性右心衰竭。

Reversible right-sided heart failure secondary to carcinoid crisis.

作者信息

Soto Herrera Mariana, Restrepo José A, Díaz Jesús H, Ramos Andrés, Felipe Buitrago Andrés, Gómez Mejía Mabel

机构信息

Critical Care Department, Hospital Universitario Fundación Santa Fe de Bogotá, Calle 119 No. 7-75, Bogotá 110111, Colombia ; Universidad de los Andes, Cra 1 No. 18A-12, Bogotá 111711, Colombia.

Critical Care Department, Hospital Universitario Fundación Santa Fe de Bogotá, Calle 119 No. 7-75, Bogotá 110111, Colombia ; Internal Medicine Department, Cardiology Section, Hospital Universitario Fundación Santa Fe de Bogotá, Calle 119 No. 7-75, Bogotá 110111, Colombia.

出版信息

Case Rep Crit Care. 2013;2013:487801. doi: 10.1155/2013/487801. Epub 2013 Oct 1.

DOI:10.1155/2013/487801
PMID:24804121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4010008/
Abstract

Carcinoid crisis is an infrequent and little-described complication of neuroendocrine tumors that can be life threatening. It may develop during induction of anesthesia, intraoperatively, during tumor manipulation and arterial embolization, or even spontaneously. The massive release of neuroendocrine substances can lead to potentially fatal complications. Somatostatin analogs inhibit the release of these substances and are the mainstay of treatment. The following case report describes a patient with reversible acute right-sided heart failure posterior to hepatic artery embolization.

摘要

类癌危象是神经内分泌肿瘤一种罕见且描述较少的并发症，可能危及生命。它可在麻醉诱导期间、术中、肿瘤操作和动脉栓塞期间发生，甚至自发出现。神经内分泌物质的大量释放可导致潜在的致命并发症。生长抑素类似物可抑制这些物质的释放，是主要的治疗方法。以下病例报告描述了一名在肝动脉栓塞后出现可逆性急性右心衰竭的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4430/4010008/94d3bf6939c0/CRIM.CRITICAL.CARE2013-487801.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4430/4010008/94d3bf6939c0/CRIM.CRITICAL.CARE2013-487801.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4430/4010008/94d3bf6939c0/CRIM.CRITICAL.CARE2013-487801.001.jpg

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本文引用的文献

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Carcinoid heart disease.类癌心脏病。
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Cardiovascular manifestations of endocrine dysfunction.内分泌功能障碍的心血管表现。
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ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: pre- and perioperative therapy in patients with neuroendocrine tumors.ENETS神经内分泌肿瘤护理标准共识指南：神经内分泌肿瘤患者的术前和围手术期治疗
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Carcinoid heart disease.类癌性心脏病
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Carcinoid crisis and reversible right ventricular dysfunction after embolization in untreated carcinoid syndrome.未治疗的类癌综合征患者栓塞后发生类癌危象和可逆性右心室功能障碍。
Eur J Echocardiogr. 2007 Oct;8(5):386-9. doi: 10.1016/j.euje.2006.04.008. Epub 2006 Sep 28.
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