嗜铬细胞瘤孕妇孕中期肿瘤切除术及孕晚期剖宫产术麻醉处理1例

Anesthetic management of a pregnant woman with pheochromocytoma undergoing tumor resection in second trimester of pregnancy and cesarean section in third trimester of pregnancy: a case report

孕妇,年龄33岁,体重63 kg,主诉"G1P0,孕16+3周,左腰部疼痛1月余"。孕12+周因左腰部疼痛行MRI示左侧肾上腺肿块伴出血,大小约8.2 cm×8.0 cm,考虑肿瘤性病变。既往有间断性头痛,否认阵发性心悸、出汗,否认高血压病、糖尿病史。辅助检查:血皮质醇、肾素、血管紧张素、醛固酮浓度未见异常。拟在全麻下行经腹膜后腹腔镜下肾上腺肿瘤切除术。