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原发性醛固酮增多症病例管理中的麻醉要点:一例病例报告

Anesthetic Implications in Managing a Case of Primary Hyperaldosteronism: A Case Report.

作者信息

Ravi Renjith, Prabhu Mahesh, Vamadevan Baby Thampuru

机构信息

Anesthesiology, Chazhikattu Hospital, Thodupuzha, IND.

Anesthesiology, New Medical Center (NMC) Specialty Hospital, Abu Dhabi, ARE.

出版信息

Cureus. 2023 Feb 26;15(2):e35502. doi: 10.7759/cureus.35502. eCollection 2023 Feb.

Abstract

Primary hyperaldosteronism (also called Conn's syndrome) is a rare condition of the adrenal glands characterized by excessive secretion of the hormone aldosterone, which regulates the balance of water and electrolytes in the body, and maintains blood volume and pressure. Hyperaldosteronism causes sodium and water retention, hypokalemia, hypertension, and muscle weakness. Common cause of primary hyperaldosteronism is an adrenal adenoma or bilateral adrenal hyperplasia. A 36-year-old female presented with hypertension, hypokalemia and muscle cramps, and on further evaluation by computed tomography (CT) scan was found to have a right adrenal adenoma. She was scheduled for a right-sided laparoscopic adrenalectomy. We report the successful peri-operative anesthetic management of this patient who had an uneventful intra-operative and post-operative course.

摘要

原发性醛固酮增多症(也称为康恩综合征)是一种罕见的肾上腺疾病,其特征是激素醛固酮分泌过多,醛固酮调节体内水和电解质的平衡,并维持血容量和血压。醛固酮增多症会导致钠和水潴留、低钾血症、高血压和肌肉无力。原发性醛固酮增多症的常见病因是肾上腺腺瘤或双侧肾上腺增生。一名36岁女性因高血压、低钾血症和肌肉痉挛就诊,经计算机断层扫描(CT)进一步评估发现有右肾上腺腺瘤。她被安排进行右侧腹腔镜肾上腺切除术。我们报告了该患者围手术期麻醉管理的成功经验,患者术中及术后过程顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59b/10050601/ccc497350c64/cureus-0015-00000035502-i01.jpg

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