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剖宫产术后合并嗜铬细胞瘤危象及羊水栓塞致心脏骤停成功救治1例。

A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism.

作者信息

Mita Kenichiro, Tsugita Kayo, Yasuda Yoshikazu, Matsuki Yasunari, Obata Yurie, Matsuki Yuka, Kamisawa Seiichi, Shigemi Kenji

机构信息

Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan.

Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan.

出版信息

J Anesth. 2017 Feb;31(1):140-143. doi: 10.1007/s00540-016-2281-3. Epub 2016 Nov 10.

Abstract

Both pheochromocytoma and amniotic fluid embolism (AFE) are important causes of maternal mortality. We present a case of a 29-year-old woman who developed cardiac arrest after Caesarean section, complicated by both pheochromocytoma crisis and AFE. After resuscitation, the patient developed multiple organ dysfunction, rhabdomyolysis and disseminated intravascular coagulation (DIC). After institution of multidisciplinary interventions (including the use of an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous hemodiafiltration, and neuroprotective therapeutic hypothermia) the patient made a full recovery without any apparent neurological deficit.

摘要

嗜铬细胞瘤和羊水栓塞(AFE)都是孕产妇死亡的重要原因。我们报告一例29岁女性,她在剖宫产术后发生心脏骤停,并发嗜铬细胞瘤危象和羊水栓塞。复苏后,患者出现多器官功能障碍、横纹肌溶解和弥散性血管内凝血(DIC)。在采取多学科干预措施(包括使用主动脉内球囊泵、体外膜肺氧合、持续血液透析滤过和神经保护治疗性低温)后,患者完全康复,没有明显的神经功能缺损。

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