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首页> 外文期刊>ESC Heart Failure >Continuous renal replacement therapy for haemodynamic collapse and rhabdomyolysis induced by pheochromocytoma crisis
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Continuous renal replacement therapy for haemodynamic collapse and rhabdomyolysis induced by pheochromocytoma crisis

机译：连续性肾脏替代疗法治疗嗜铬细胞瘤危机引起的血流动力学衰竭和横纹肌溶解

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Abstract Pheochromocytoma associated with pregnancy is not common. Caesarean section may induce pheochromocytoma crisis, resulting in a lethal condition. The clinical picture of pheochromocytoma crisis is extremely variable. In this report, we describe a case of severe pheochromocytoma crisis induced by caesarean section presenting with hyperpyrexia, haemodynamic collapse, muscle weakness, heart failure, and acute kidney injury. Furthermore, we report that the muscle weakness was a manifestation of rhabdomyolysis, resulting from the pheochromocytoma crisis. Standard medical therapy failed to halt the patient's rapidly deteriorating condition. Continuous renal replacement therapy removed catecholamines from the circulation, resulting in improvement of haemodynamics and abrogation of rhabdomyolysis.
机译：摘要与妊娠相关的嗜铬细胞瘤并不常见。剖腹产可能会引起嗜铬细胞瘤危机，从而导致致死性疾病。嗜铬细胞瘤危机的临床情况千差万别。在本报告中，我们描述了由剖腹产引起的严重嗜铬细胞瘤危机，并伴有高热，血液动力衰竭，肌肉无力，心力衰竭和急性肾损伤。此外，我们报道肌肉无力是由嗜铬细胞瘤危机引起的横纹肌溶解的表现。标准药物治疗未能阻止患者迅速恶化的病情。持续的肾脏替代疗法从血液循环中去除了儿茶酚胺，从而改善了血流动力学并消除了横纹肌溶解症。

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