PHEOCHROMOCYTOMA PRESENTING AS ACUTE MALIGNANT HYPERTHERMIA - A DIAGNOSTIC CHALLENGE

被引:13
作者
ALLEN, GC [1 ]
ROSENBERG, H [1 ]
机构
[1] HAHNEMANN UNIV,DEPT ANESTHESIOL,MS 310,BROAD & VINE ST,PHILADELPHIA,PA 19102
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1990年 / 37卷 / 05期
关键词
acid-base equilibrium: acidosis; respiratory; complications:; hypertension; pulmonary oedema; hyperthermia: malignant; metabolism: hyperthermia; neuromuscular relaxants: dantrolene; surgery: phaeochromocytoma;
D O I
10.1007/BF03006334
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report a case of acute hypermetabolism following the induction of general anaesthesia in an 11-yr-old boy. This episode was diagnosed and managed as an acute malignant hyperthermia crisis. However, severe hypertension during the episode led to the discovery of an unsuspected phaeochromocy-toma. A hypermetabolic state during anaesthesia has several aetiologies, but correct diagnosis during the acute episode may be difficult. © 1990 Canadian Anesthesiologists.
引用
收藏
页码:593 / 595
页数:3
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