|
KMID : 0356919940270081014
|
|
Korean Journal of Anesthesiology
1994 Volume.27 No. 8 p.1014 ~ p.1017
|
|
|
Myocardial Infarction in a Pregnant Woman with Pheochromocytoma
|
|
김수원
임혜자/장성호/조헌/공명훈/김난숙
|
|
|
Abstract
|
|
|
A 36-year-old woman (para 1-0-2-1) was transferred to Korea University Hospital at 38 weeks gestation for dyspnea and chest pain. On admission, her blood pressure ranged from 13/70 to 230/130 mmHg, the heart rate was 144 beats/min and respiratory
rate
was 36/min. The ECG pattern, serum creatinine phosphokinase and lactic dehydrogenase levels were consistent with acute myocardial infarction. The baby was delivered by cesarean section under general anesthesia with nitroglycerin and propranolol
support.
After delivery, the patients was diagnosed as having pheochromocytoma by hormone study, abdominal magnetic resonance imaging, and computerized tomography scan.
Removal of tumor was successfully done under combined general and epidural anesthesia after preoperative preaparation with phenoxybenzamine and propranolol for two weeks. Postanesthetic recovery was uneventful.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|