nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo searchdiv qikanlogo popupnotification paper paperNew
2025, 01, v.19 35-38
巨大嗜铬细胞瘤并肾上腺危象1例
基金项目(Foundation):
邮箱(Email):
DOI: 10.20256/j.cnki.zgdxbl.20250205.001
摘要:

患者,男性,55岁,因“体检发现左侧后腹膜包块2月”入院。在增强CT检查中,发现左侧肾上腺有一巨大肿块,直径约为7.8 cm×5.9 cm×6.4 cm,伴周围组织及临近血管粘连。结合血儿茶酚胺结果及影像学报告,诊断为嗜铬细胞瘤。由于患者术中突发肾上腺危象,血压剧烈波动,采取了紧急抢救措施。本例患者体现了巨大嗜铬细胞瘤与肾上腺危象的潜在风险,强调了早期诊断和围术期管理的重要性。建议针对巨大肾上腺肿瘤患者,术前多学科充分评估,并制定个性化的治疗方案,以降低术后并发症风险,提高患者预后。

Abstract:

KeyWords:
参考文献

[1] Passman J E,WachtelACHTEL H. Management of pheochromocytomas and paragangliomas[J]. The Surgical Clinics of North America,2024,104(4):863-881.

[2] Bogati K,Baniya S,Thapa S,et al. A giant pheochromocytoma presenting in pheochromocytoma crisis:a case report[J]. Journal of the Nepal Medical Association(JNMA),2023,61(258):179-183.

[3] Araujo-Castro M,Pascual-Corrales E,Nattero C L,et al.Protocol for presurgical and anesthetic management of pheochromocytomas and sympathetic paragangliomas:a multidisciplinary approach[J]. Journal of Endocrinological Investigation,2021,44(12):2545-2555.

[4] Juszczak K, Drewa T. Adrenergic crisis due to pheochromocytoma-practical aspects. a short review[J].Central European Journal of Urology,2014,67(2):153-155.

[5] Fagundes G F C,Almeida M Q. Perioperative management of pheochromocytomas and sympathetic paragangliomas[J]. Journal of the Endocrine Society,2022,6(2):1-8.

[6] Calissendorff J,Juhlin C C,Bancos I,et al. Pheochromocytomas and abdominal paragangliomas:a practical guidance[J]. Cancers,2022,14(4):917.

[7] Urabe F, Kimura S,Iwatani K,et al. Risk factors for perioperative hemodynamic instability in pheochromocytoma:a systematic review and meta-analysis[J]. Journal of Clinical Medicine,2021,10(19):4531.

[8] Chiba D,Hada Y,Nunahata K,et al. A case of pheochromocytoma crisis with persistent hypotension successfully managed with vasopressin[J]. Urology case reports,2021,(38):101664.

[9]赵丽云,徐铭军,朱斌,等.经食管超声心动图在非心脏手术中应用专家共识(2020版)[J].临床麻醉学杂志,2020,36(10):25-30.

基本信息:

DOI:10.20256/j.cnki.zgdxbl.20250205.001

中图分类号:R736.6

引用信息:

[1]曾继逾,吴李,阳婷.巨大嗜铬细胞瘤并肾上腺危象1例[J].中国典型病例大全,2025,19(01):35-38.DOI:10.20256/j.cnki.zgdxbl.20250205.001.

基金信息:

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文