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随着诊断技术的不断提高,嗜铬细胞瘤的病例报告已日益增多,其所致高血压约占全部高血压病人的0.4~2%。是一种可治疗的继发性高血压,如能及时诊断和手术治疗,预后良好,否则易长期被误诊为高血压病。因此,提高对本病的认识,有重要临床意义。一、一般资料我院16例,武医附二院18例,武汉军区总院3例,共37例。男16例,女21例。二、临床表现血压升高34例,占全部病例的92%。其中阵发性高血压17例,常突然发作,伴头痛、心悸、出汗、恶心、面色苍白、焦虑、胸痛等,其中14例血压超过200/140mmHg 以上。每次发作持续时间为数分钟至数小时不等。发作频率有数月一次
With the continuous improvement of diagnostic techniques, cases of pheochromocytoma have been reported more and more, resulting in hypertension accounts for about 0.4 to 2% of all hypertensive patients. Is a treatable secondary hypertension, if timely diagnosis and surgical treatment, the prognosis is good, otherwise easy to be misdiagnosed as long-term hypertension. Therefore, to raise awareness of the disease, has important clinical significance. First, the general information 16 cases in our hospital, 18 cases of Second Affiliated Hospital of Wuhan Medical College, Wuhan Military Region General Hospital in 3 cases, a total of 37 cases. 16 males and 21 females. Second, the clinical manifestations of blood pressure in 34 cases, accounting for 92% of all cases. Of which 17 cases of paroxysmal hypertension, often sudden onset, with headache, palpitations, sweating, nausea, pale, anxiety, chest pain, etc., of which 14 cases of blood pressure over 200 / 140mmHg above. The duration of each episode varies from minutes to hours. The frequency of seizures months once