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体外膜肺氧合(ECMO)支持下嗜铬细胞瘤危象患者的手术麻醉:一例报告

Surgical anesthesia in a patient with a pheochromocytoma crisis supported by ECMO: a case report.

作者信息

Chen Minjuan, Yan Wei, Yang ZhiHai, Hong Tao, Jin Lingling, Cao Donghang, Gu Yixiao

机构信息

Zhejiang Taizhou Hospital, Taizhou, China.

出版信息

J Cardiothorac Surg. 2024 Dec 20;19(1):674. doi: 10.1186/s13019-024-03177-w.

Abstract

Pheochromocytoma is rare in clinical practice, with patients typically presenting with headache, high blood pressure and sweating. Patients who develop a pheochromocytoma crisis are particularly rare. This report describes the case of a patient in a pheochromocytoma crisis who presented with severe cardiogenic shock, acute respiratory failure, and acute coronary syndrome. The patient underwent surgery under general anesthesia with ECMO support and was discharged in good health.

摘要

嗜铬细胞瘤在临床实践中较为罕见,患者通常表现为头痛、高血压和出汗。发生嗜铬细胞瘤危象的患者尤为罕见。本报告描述了一例嗜铬细胞瘤危象患者的病例,该患者出现了严重的心源性休克、急性呼吸衰竭和急性冠状动脉综合征。患者在体外膜肺氧合(ECMO)支持下接受全身麻醉手术,术后康复出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cdc/11660651/34f8c56794a2/13019_2024_3177_Fig1_HTML.jpg

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