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一例因循环衰竭导致产妇死亡的罕见原因(作者译)

[Unusual cause of death of a parturient from circulatory failure (author's transl)].

作者信息

Zeman V, Kral J, Hanika J

出版信息

Zentralbl Gynakol. 1980;102(8):472-9.

PMID:6893890
Abstract

Bilateral phaeochromocytoma was histologically recorded from a primigravida and primipara, 22 years of ager, who had died 13 hours after precipitate spontaneous birth of a living mature child. Mucosal neurofibroma on the tongue and solid medullary carcinoma of the thyroid gland with amyloid, associated with Hashimoto's lymphocytic thyreoiditis, were additional findings. Coincidence of such carcinoma with Hashimoto's thyreoiditis so far has not been described in international literature. When the abdominal cavity was relieved of pressure after parturition, bleeding started into the phaeochromocytoma on the left side. Death then was caused by resulting peripheral circulatory failure.

摘要

一名22岁的初产妇,在顺产下一名存活的成熟婴儿13小时后死亡,组织学检查发现双侧嗜铬细胞瘤。另外还发现舌部黏膜神经纤维瘤以及伴有淀粉样变的甲状腺实性髓样癌,后者与桥本淋巴细胞性甲状腺炎有关。这种癌与桥本甲状腺炎的巧合在国际文献中尚未见报道。分娩后腹腔减压时,左侧嗜铬细胞瘤开始出血。随后因外周循环衰竭导致死亡。

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