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妊娠期间继发于肾上腺腺瘤的库欣综合征。病例报告及文献综述。

Cushing's syndrome in pregnancy secondary to adrenal adenoma. A case report and literature review.

作者信息

Lo K W, Lau T K

机构信息

Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.

出版信息

Gynecol Obstet Invest. 1998;45(3):209-12. doi: 10.1159/000009958.

DOI:10.1159/000009958
PMID:9565149
Abstract

We describe a case of Cushing's syndrome complicating pregnancy presented with acute heart failure, hypertension and glucose intolerance. A left adrenal adenoma was removed at 24 weeks of gestation. The pregnancy was ended with an emergency lower-segment Caesarean section at 31 weeks of gestation because of severe pre-eclampsia and HELLP syndrome. The case is reported not only because of its rarity but also to induce the discussion of surgical treatment during pregnancy.

摘要

我们描述了一例库欣综合征合并妊娠的病例,该病例表现为急性心力衰竭、高血压和糖耐量异常。在妊娠24周时切除了左侧肾上腺腺瘤。由于重度子痫前期和HELLP综合征,在妊娠31周时行急诊下段剖宫产术终止妊娠。报道该病例不仅因其罕见,还旨在引发关于妊娠期手术治疗的讨论。

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Gynecol Obstet Invest. 1998;45(3):209-12. doi: 10.1159/000009958.
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Pregnancies complicated with functioning adrenal adenomas causing severe obstetric outcomes: a 20-year experience at a tertiary center.妊娠合并功能性肾上腺腺瘤导致严重产科结局:一家三级中心 20 年的经验。
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Pregnancy complicated with adrenal adenoma causing ACTH-independent Cushing's syndrome, accompanied by obstetric antiphospholipid syndrome and severe pre-eclampsia: case report and literature review.妊娠合并促肾上腺皮质激素非依赖性库欣综合征(ACTH 不依赖型库欣综合征)伴产科抗磷脂抗体综合征及重度子痫前期 1 例并文献复习
Front Endocrinol (Lausanne). 2023 May 19;14:1147316. doi: 10.3389/fendo.2023.1147316. eCollection 2023.
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Ann Transl Med. 2019 Sep;7(18):490. doi: 10.21037/atm.2019.07.94.
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Successful Management of Acute Congestive Heart Failure by Emergent Caesarean Section Followed by Adrenalectomy in a Pregnant Woman with Cushing's Syndrome-induced Cardiomyopathy.在一名患有库欣综合征所致心肌病的孕妇中,通过紧急剖宫产随后进行肾上腺切除术成功治疗急性充血性心力衰竭。
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