妊娠期垂体卒中:两条生命危在旦夕

IF 0.2 Q4 ANESTHESIOLOGY
I. Faisal, T. Kaushik, Pragati Ganjoo, A. Jagetia
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引用次数: 0

摘要

孕妇的垂体卒中是一种毁灭性的疾病,继发于妊娠期雌激素水平高导致的垂体体积大增和泌乳细胞增生。垂体或肿瘤的突然出血或梗死会导致腺体破坏,并产生严重后果,如急性肾上腺功能不全、循环系统休克、神经系统恶化和视力丧失。及时处理并发症对于预防孕产妇和胎儿死亡是必要的。复苏旨在早期纠正血液动力学不稳定、电解质异常、激素缺乏和颅内高压。如果患者视力和神经系统状况迅速下降,可能需要进行紧急垂体减压手术。此类患者的管理具有挑战性,需要多学科合作。我们在这里描述一位孕妇垂体卒中的紧急处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnancy-induced pituitary apoplexy: Two lives at stake
Pituitary apoplexy in a pregnant woman is a devastating condition that develops secondary to a massive increase in the size of the pituitary gland and hyperplasia of lactotroph cells caused by high estrogen levels of pregnancy. The resultant sudden hemorrhage or infarction into the pituitary gland or a tumor leads to gland destruction with serious consequences like acute adrenal insufficiency, circulatory shock, neurological deterioration, and visual loss. Prompt handling of complications is necessary to prevent maternal and fetal mortality. Resuscitation is aimed at the early correction of hemodynamic instability, fluid-electrolyte abnormalities, hormone deficiencies, and intracranial hypertension. Urgent decompressive pituitary surgery may be required if the patient has rapidly declining vision and neurological status. Management of such patients is challenging and requires multi-disciplinary collaboration. We describe here the emergency handling of pituitary apoplexy in a pregnant woman.
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审稿时长
29 weeks
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