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大麻素高和染细胞瘤高血压紧迫性:一个案例报告
Jeffrey M Arendash1, Cornel Chiu2, Jocelyn Wang2
1Department of Anesthesiology, Stanford University, 300 Pasteur Dr., Stanford, CA, 94305, USA. arendash@stanford.edu.
Journal of medical case reports
|March 19, 2024
概括
大麻素高症候群可引发高血压紧迫性在患有染细胞瘤的患者. 由于使用大麻素而引起的剧烈吐会增加腹部压力,导致上腺瘤中的危险甲基荷胺激增.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 呈现了一例罕见的大麻素诱导高症综合征 (CHS) 病例,该病例发生在患有大上腺染细胞瘤的患者身上.
- 患者经历了反复的剧烈发,导致高血压紧迫性.
研究的目的:
- 为了研究CHS和高血压事件之间的关系,在患有染细胞瘤的患者.
- 突出了可能的机制,将高血压诱导的腹部压力与catecholamine释放联系起来.
主要方法:
- 一个69岁的男性的病例报告,诊断出患有高血压急迫症的染细胞瘤.
- 基于日常使用大麻素的病史和复发性高血压的CHS诊断.
- 治疗包括抗药,血压控制的重症监护和随后的上腺切除术.
主要成果:
- 高血压紧迫性归因于上腺染细胞瘤在发作期间的物理压缩.
- 抗和抗高血压药物可以控制症状和血压.
- 患者的病情在24小时后得到改善,血压在出院后恢复正常.
结论:
- 高血压,特别是CHS,可以在患有染细胞瘤的个体中导致高血压危机.
- 在吐期间增加的腹腔内压力是染细胞瘤释放catecholamine的可信机制.
- 停止使用大麻素和手术切除瘤对于管理至关重要.
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