We report a case of severe acute pulmonary oedema following induction of general anaesthesia for emergency caesarean section. After several hours of aggressive resuscitation, both mother and child had a favourable outcome. Postoperative investigation of acute renal failure demonstrated a supra-adrenal mass. Further investigation confirmed bilateral phaeochromocytoma as the cause of her condition. A literature review confirmed this to be a rare but important clinical entity, owing to its high mortality. Antenatal diagnosis greatly improves survival. Magnesium sulphate appears to be a useful and safe agent to employ in cases of undiagnosed hypertensive obstetric emergencies.

译文

我们报告了一例在进行紧急剖腹产的全身麻醉后引起的严重急性肺水肿。经过几个小时的积极复苏,母亲和孩子都有了良好的结果。急性肾衰竭的术后检查显示肾上腺上肿块。进一步的调查证实了双侧嗜铬细胞瘤是她病情的原因。文献综述证实,由于其高死亡率,这是一种罕见但重要的临床实体。产前诊断大大提高了生存率。硫酸镁似乎是在未诊断的高血压产科紧急情况下使用的有用且安全的试剂。

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