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罕见孕妇胸痛病例:嗜铬细胞瘤的特殊处理。

A rare case of pheochromocytoma in a pregnant woman presenting with chest pain: extraordinary management.

机构信息

Department of Cardiology, The First Affiliated Hospital of Wannan Medical College, No. 2, Zhe Shan West Road, Wuhu, 241001, Anhui, China.

出版信息

BMC Cardiovasc Disord. 2024 May 20;24(1):261. doi: 10.1186/s12872-024-03943-7.

Abstract

BACKGROUND

Pheochromocytoma is rare in pregnant women. It presents as diverse symptoms, including hypertension and sweating. The symptoms of pregnant women with pheochromocytoma and comorbid hypertension often mimic the clinical manifestations of preeclampsia, and these women are often misdiagnosed with preeclampsia.

CASE PRESENTATION

In this case, a pregnant woman presented with chest pain as the primary symptom, and a diagnosis of pheochromocytoma was considered after ruling out myocardial ischemia and aortic dissection with the relevant diagnostic tools. This patient then underwent successful surgical resection using a nontraditional management approach, which resulted in a positive clinical outcome.

CONCLUSIONS

It is essential to consider pheochromocytoma as a potential cause of chest pain and myocardial infarction-like electrocardiographic changes in pregnant women, even if they do not have a history of hypertension.

摘要

背景

嗜铬细胞瘤在孕妇中较为罕见。其表现多样,包括高血压和出汗。患有嗜铬细胞瘤和合并高血压的孕妇的症状常与子痫前期的临床表现相似,这些孕妇常被误诊为先兆子痫。

病例介绍

本例患者以胸痛为主要症状,通过相关诊断工具排除心肌缺血和主动脉夹层后,考虑嗜铬细胞瘤的诊断。随后,该患者采用非传统管理方法成功进行了手术切除,取得了积极的临床结果。

结论

即使孕妇没有高血压病史,也应考虑嗜铬细胞瘤是胸痛和类似心肌梗死的心电图改变的潜在原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2b0/11103813/3403103f2a4a/12872_2024_3943_Fig1_HTML.jpg

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