Sauvage M R, Tulasne P A, Arnaud J P
Anesth Analg (Paris). 1979 Mar-Apr;36(3-4):155-8.
Death may follow anesthetic incident in unsuspected pheochromocytoma. They may lead to hypertensive crisis with cerebrovascular accident and severe arythmias or acute left heart failure with pulmonary edema. We report a case illustrating these problems and in which death has followed. Analysis of the 18 cases recorded in world litterature demonstrates a mortality rate of 85 p. cent. The accident can occur in association with surgery, anesthesia and certain, even minor, investigatory procedures. However if the crisis is recognized and appropriatly treated, the patient may recover before irreversible shock occurs.
未被怀疑的嗜铬细胞瘤患者在麻醉事件后可能死亡。这些事件可能导致伴有脑血管意外和严重心律失常的高血压危象，或伴有肺水肿的急性左心衰竭。我们报告一例说明这些问题且已导致死亡的病例。对世界文献中记录的18例病例的分析表明死亡率为85%。该意外情况可与手术、麻醉及某些甚至是轻微的检查操作相关联。然而，如果能识别并妥善处理该危象，患者可能在发生不可逆休克之前康复。
