妊娠合并嗜铬细胞瘤麻醉管理一例
龚亚红;陈广俊;刘薇;黄宇光;龚志毅;
摘要(Abstract):
<正>妊娠期嗜铬细胞瘤是一种罕见疾病,该病缺乏特异性临床表现,容易漏诊误诊,产前漏诊或误诊的嗜铬细胞瘤患者,母婴死亡率高达50%以上[1];即使产前明确诊断,其围产期管理也存在巨大挑战。本文报告一例妊娠合并嗜铬细胞瘤患者同期行剖宫产和嗜铬细胞瘤切除术的麻醉管理。临床资料
关键词(KeyWords):
嗜铬细胞瘤;妊娠;麻醉
基金项目(Foundation):
作者(Authors):
龚亚红;陈广俊;刘薇;黄宇光;龚志毅;
参考文献(References):
- [1]Potts JM,Larrimer J.Pheochromocytoma in a pregnant patient[J].J Fam Pract,1994,38:289-293.
- [2]Milne F,Redman C,Walker J,et al.The pre-eclampsia community guideline(PRECOG):how to screen for and detect onset of pre-eclampsia in the community[J].BMJ,2005,330:576-580.
- [3]Santeiro ML,Stromquist C,Wyble L.Phenoxybenzamine placental transfer during the third trimester[J].Ann Pharmacother,1996,30:1249-1251.
- [4]Sanath Kumar SB,Date R,Woodhouse N,et al.Successful management of phaeochromocytoma using preoperative oral labetalol and intraoperative magnesium sulphate:report of four cases[J].Sultan Qaboos Univ Med J,2014,14:e236-e240.
- [5]Varaldo E,Ansaldo G,Assalino M,et al.Pheochromocytoma during pregnancy treated by surgery:A case report and the review of the literature[J].Ann Ital Chir,2010,81:227-230.
- [6]Yatabe T,Yokoyama T,Yamashita K,et al.Management of anesthesia with artificial pancreas STG-22 for pheochromocytoma resection[J].Masui,2009,58:88-91.