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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.

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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