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1例副神经节瘤诱发的肾上腺素能休克

A Case of Paraganglioma-Induced Adrenergic Shock.

作者信息

Santos Mariana S, Teixeira Maria Margarida, Alves Abel, Pereira Bernardo Dias, Henriques Manuela

机构信息

Department of Intensive Care Medicine, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, PRT.

Department of Endocrinology and Nutrition, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, PRT.

出版信息

Cureus. 2022 Jul 16;14(7):e26925. doi: 10.7759/cureus.26925. eCollection 2022 Jul.

Abstract

Paragangliomas (PGLs) are rare neuroendocrine tumors that, when functional, can release excessive catecholamines, causing health conditions ranging from asymptomatic arterial hypertension to life-threatening arrhythmias and cardiogenic shock. Early diagnosis of functional PGLs is extremely important as timely treatment can be curative and prevent vascular sequelae. We describe the clinical case of a 30-year-old woman with arterial hypertension under study, who was presented to the emergency department with a hypertensive crisis that progressed to adrenergic shock, in the context of a functional PGL.

摘要

副神经节瘤(PGLs)是一种罕见的神经内分泌肿瘤,若具有功能,可释放过量儿茶酚胺,导致从无症状性动脉高血压到危及生命的心律失常和心源性休克等各种健康问题。功能性PGLs的早期诊断极为重要,因为及时治疗可治愈疾病并预防血管后遗症。我们描述了一名正在接受研究的30岁患有动脉高血压的女性的临床病例,她因功能性PGLs出现高血压危象并进展为肾上腺素能休克,被送往急诊科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41e5/9377794/a2ef65c87798/cureus-0014-00000026925-i01.jpg

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