Fudge T L, McKinnon W M, Geary W L
Arch Surg. 1980 Oct;115(10):1224-5. doi: 10.1001/archsurg.1980.01380100068016.
The diagnosis of pheochromocytoma during pregnancy has rarely been made correctly prior to delivery, only 42 cases having been reported. Antepartum diagnosis markedly decreases the maternal and fetal mortality. We report a case of pheochromocytoma manifesting during the third trimester of pregnancy. Preoperative control of blood pressure with phenoxybenzamine and phentolamine therapy was carried out. Simultaneous cesarean section and excision of the tumor resulted in a healthy mother and newborn infant. We review the perioperative and intraoperative management of patients with a pheochromocytoma during pregnancy.
在分娩前很少能正确诊断出妊娠期嗜铬细胞瘤，仅有42例报道。产前诊断可显著降低母婴死亡率。我们报告一例在妊娠晚期出现的嗜铬细胞瘤病例。采用苯氧苄胺和酚妥拉明治疗进行术前血压控制。同时进行剖宫产和肿瘤切除，母婴均健康。我们回顾了妊娠期嗜铬细胞瘤患者的围手术期和术中管理。
