Sonntagbauer M, Koch A, Strouhal U, Zacharowski K, Weber C F
Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Theodor Stern Kai 7, 60590, Frankfurt/Main, Germany.
Department of Anesthesiology, Intensive Care and Emergency Medicine, Asklepios Klinik Wandsbek, Hamburg, Germany.
Anaesthesist. 2018 Mar;67(3):209-215. doi: 10.1007/s00101-018-0409-6. Epub 2018 Feb 5.
Catecholamine crises associated with pheochromocytoma may cause life-threatening cardiovascular conditions. We report the case of a 75-year-old male who developed a hypertensive crisis during induction of general anesthesia for elective resection of a cervical neuroma due to an undiagnosed pheochromocytoma. Hemodynamic instability occurred immediately after the injection of fentanyl, propofol and rocuronium, prior to laryngoscopy and in the absence of any manipulation of the abdomen. In this case report, we present the management of this incident and discuss the underlying pathophysiology triggering a catecholamine crisis.
与嗜铬细胞瘤相关的儿茶酚胺危象可能导致危及生命的心血管疾病。我们报告一例75岁男性病例，该患者因未被诊断出的嗜铬细胞瘤，在择期切除颈部神经瘤进行全身麻醉诱导期间发生高血压危象。在喉镜检查前且未对腹部进行任何操作的情况下，注射芬太尼、丙泊酚和罗库溴铵后立即出现血流动力学不稳定。在本病例报告中，我们介绍了该事件的处理过程，并讨论了引发儿茶酚胺危象的潜在病理生理学机制。
