多内分泌腺瘤病（MEN）II A型患者以多器官功能衰竭和昏迷为首发表现的嗜铬细胞瘤
Multiple organ failure and coma as initial presentation of pheochromocytoma in a patient with multiple endocrine neoplasia (MEN) type II A.
作者信息
Lorz W, Cottier C, Imhof E, Gyr N
机构信息
Medical Department, Kantonsspital Liestal, University of Basel, Switzerland.
出版信息
Intensive Care Med. 1993;19(4):235-8. doi: 10.1007/BF01694777.
Abstract
The unusual case of a 65-year-old woman with intermittent hypotension, fever, pulmonary edema and coma as initial presentation of pheochromocytoma is reported. The patient developed respiratory, cardiac and renal failure, disseminated intravascular coagulation and liver dysfunction. She had to be defibrillated on multiple occasions, occurring in periods of severe hypertension. After successful surgical removal of a pheochromocytoma a thyroid medullary carcinoma was detected. Several members of the patients family had presented with multiple endocrine neoplasia (MEN II).
摘要
报告了一例65岁女性的罕见病例，其最初表现为间歇性低血压、发热、肺水肿和昏迷，诊断为嗜铬细胞瘤。患者出现呼吸、心脏和肾衰竭、弥散性血管内凝血和肝功能障碍。她在严重高血压期间多次发生心室颤动，需要进行除颤。成功手术切除嗜铬细胞瘤后，检测出甲状腺髓样癌。患者家族中的几名成员患有多发性内分泌肿瘤（MEN II）。
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