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題名 | Unsuspected Pheochromocytoma with Abdominal Aortic Aneurysm--A Case Report=腹主動脈瘤手術麻醉中發現合併嗜鉻細胞瘤--病例報告 |
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作者 | Ehata,Takafumi; Karasawa,Fujio; Watanabe,Kazuhiko; Satoh,Tetsuo; | 書刊名 | 麻醉學雜誌 |
卷期 | 37:1 1999.03[民88.03] |
頁次 | 頁27-28 |
分類號 | 416.5 |
關鍵詞 | 腹主動脈瘤; 手術麻醉; 合併嗜鉻細胞瘤; Pheochromocytoma; Aortic aneurysm; Abdominal; Catecholamines; Hypertension; |
語文 | 英文(English) |
英文摘要 | This case report describes the pen-operative management of a 65-year-old man with an unsuspected pheochromocytoma. He underwent emergent surgery for a rupturing abdominal aortic aneurysm. During surgery his blood pressure changed dramatically and was resistant to drug treatment. A pheochromocytoma was suspected, but the emergency precluded immediate investigation. A second hypertension episode occurred in the intensive care unit, and CT revealed an abnormal adrenal mass. Surgery for the pheochromocytoma was carried out successfully later, with the hypertension being managed very carefully. We considered that exposure to extraordinary catecholamine levels from the pheochromocytoma might have contributed to the development of the abdominal aortic aneurysm. |
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