乌拉地尔治疗嗜铬细胞瘤危象1例。

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Miro Bakula, Lea Tomašić, Ivana Kokan, Katarina Mucić, Nikolina Marić, Maja Bakula
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引用次数: 0

摘要

嗜铬细胞瘤是一种罕见的肿瘤,表现出广泛的症状和体征,使鉴别诊断广泛。它们可引起嗜铬细胞瘤危象,表现为动脉血压波动,以及随后的儿茶酚胺过量产生的症状和体征。这种情况有许多潜在的触发因素。本文报告一位33岁男性患者,由于使用β受体阻滞剂而未同时使用α受体阻滞剂而发生明显的嗜铬细胞瘤危象。使用高剂量的乌拉地尔治疗危重症,一旦达到永久血流动力学稳定,就用苯氧苄胺代替乌拉地尔。本报告表明,乌拉地尔可以成功治疗嗜铬细胞瘤危象,但乌拉地尔在嗜铬细胞瘤危象和嗜铬细胞瘤患者术前管理中的应用需要进一步考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PHEOCHROMOCYTOMA CRISIS TREATED WITH URAPIDIL: A CASE REPORT.

Pheochromocytomas are rare tumors that present with a broad spectrum of symptoms and signs, making differential diagnosis broad. They can cause a pheochromocytoma crisis that manifests with arterial blood pressure oscillations, and subsequent symptoms and signs of catecholamine overproduction. There are many potential triggers of this condition. This report presents a 33-year-old man with an obvious pheochromocytoma crisis that occurred due to beta-blocker application without a concomitant alpha-blocker. The crisis was treated with high doses of urapidil, and once permanent hemodynamic stabilization was achieved, urapidil was replaced with phenoxybenzamine. This report demonstrates that pheochromocytoma crisis can be successfully treated with urapidil but further consideration is needed on the use of urapidil both in pheochromocytoma crisis and preoperative management of pheochromocytoma patients.

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来源期刊
Acta clinica Croatica
Acta clinica Croatica 医学-医学:内科
CiteScore
1.10
自引率
16.70%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Acta Clinica Croatica is a peer reviewed general medical journal that publishes original articles that advance and improve medical science and practice and that serve the purpose of transfer of original and valuable information to journal readers. Acta Clinica Croatica is published in English four times a year.
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