经过简单的手术后由亚临床空综合征引起的持续性术后低血压:一个病例报告
Kang-Mei Zhao1, Jia-Sheng Hu2, Sheng-Mei Zhu1
1Department of Anesthesiology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.
World journal of clinical cases
|September 20, 2023
概括
亚临床空塞拉综合征可能会导致持续的术后低血压. 早期内分泌评估和葡萄糖皮质激素补充剂在手术后的患者中解决了症状.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 空塞拉是一个放射性发现,其中由于子arachnoid 间隙的原因, pituitary 腺体在 sella turcica 内被平坦化.
- 患者可能会出现头痛和内分泌功能障碍,这取决于受影响的垂体激素.
研究的目的:
- 报告由亚临床空综合征引起的持续性术后低血压病例.
- 强调在无法解释的低血压中考虑内分泌病因的重要性.
主要方法:
- 一名47岁的妇女在声带多重切除术后出现持续性低血压.
- 荷尔蒙评估显示高血清素,低正常ACTH和低皮质醇.
- 大脑MRI证实了空塞拉,诊断出空塞拉综合征和二次上腺功能不充分.
主要成果:
- 患者经历了头,头痛和持续的低血压,需要多巴胺.
- 荷尔蒙失衡表明二次上腺功能不充分.
- 症状通过每天服用葡萄糖皮质醇补充剂而消失.
结论:
- 持续的术后低血压,当与麻醉或手术无关时,需要对内分泌原因进行调查.
- 在这种情况下,应考虑带有二次上腺功能不足的空综合征.
- 及时诊断和用葡萄糖皮质激素治疗可以有效地控制症状.
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