Chiang W L, Tsai M H, Lieu C S, Yang S F, Lin P C
Department of Anesthesiology, Changhua Christian Hospital, Taiwan, R.O.C.
Ma Zui Xue Za Zhi. 1993 Dec;31(4):273-6.
A case of severe hypoglycemia (30 mg/dL) after resection of unilateral pheochromocytoma is reported. Consciousness regained after 20 gm dextrose water was given intravenously. Rebound insulin storm is highly suspected as the main mechanism for the development of post-operative hypoglycemia. Administration of alpha and beta adrenergic blockers may also contribute to the severity of the hypoglycemia. Closely monitoring blood sugar level during the perioperative period is the only way to prevent the occurrence of such a catastrophe.
报告了一例单侧嗜铬细胞瘤切除术后发生严重低血糖(30mg/dL)的病例。静脉输注20克葡萄糖水后意识恢复。高度怀疑反弹性胰岛素风暴是术后低血糖发生的主要机制。α和β肾上腺素能阻滞剂的使用也可能导致低血糖的严重程度增加。围手术期密切监测血糖水平是预防此类灾难发生的唯一方法。