Bilateral phaeochromocytomas in pregnancy: anaesthetic management of combined caesarean section and tumour removal.
Bilateral phaeochromocytomas in pregnancy: anaesthetic management of combined caesarean section and tumour removal.
复制标题
妊娠期双侧嗜铬细胞瘤：联合剖腹产和肿瘤切除的麻醉管理。
DOI：
10.1213/00000539-198007000-00007
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发表时间：
1985
影响因子：
3.6
通讯作者：
F. Lhoste
中科院分区：
文献类型：
--
作者：
M. Pinaud;R. Souron;J. Le Néel;P. Lopes;A. Murat;F. Lhoste
一名患有双侧嗜铬细胞瘤的 25 岁初产妇从妊娠 6 周开始接受剖腹产手术并切除肾上腺肿瘤后一直持续到 2.5 年。术前通过口服哌唑嗪实现α-阻断，没有有害作用。术中管理包括安定镇痛、动脉压和肺动脉压监测、通过补液和硝普钠进行足够的心脏负荷。术后，母亲和婴儿血压均保持正常。
A 25-year-old primigravida with bilateral phaeochromocytomas was managed from 6 weeks' gestation until 2.5 years following combined Caesarean section and removal of adrenal tumours. Pre-operative alpha-blockade was achieved by oral prazosin without deleterious effects. Intra-operative management comprised neuroleptanalgesia, arterial and pulmonary pressure monitoring, adequate heart loading with fluid replacement and sodium nitroprusside. Post-operatively, mother and baby remained normotensive.