Smith C M, Wigent P J
Department of Education, Strong Health: Highland Hospital, Rochester, New York, USA.
J Perinat Neonatal Nurs. 1998 Sep;12(2):11-25. doi: 10.1097/00005237-199809000-00003.
Pheochromocytoma, a rare finding in pregnancy, is associated with significant risks for maternal fetal morbidity and mortality when undetected antenatally. The disease is commonly mistaken for hypertensive conditions of pregnancy. The advanced practice nurse may play a crucial role in early diagnosis based on a careful history and physical examination, clinical suspicion, diagnostic testing, and patient education. The management of a pregnant woman with pheochromocytoma is individualized for the woman, depending on gestational age, tumor location, and stabilization of the disease. A collaborative medical, surgical, and nursing team approach is needed. Pharmacologic intervention and surgical resection of the tumor(s) are the treatments of choice. Long-term followup is essential to detect malignancy and recurrence.
嗜铬细胞瘤在孕期较为罕见，若产前未被发现，会给母婴带来显著的发病和死亡风险。该疾病常被误诊为妊娠高血压疾病。基于详尽的病史、体格检查、临床怀疑、诊断检测及患者教育，高级执业护士在早期诊断中可能发挥关键作用。患有嗜铬细胞瘤的孕妇的管理需因人而异，取决于孕周、肿瘤位置及病情稳定情况。需要医疗、外科和护理团队的协作方法。药物干预和肿瘤手术切除是首选治疗方法。长期随访对于检测恶性肿瘤和复发至关重要。
