嗜铬细胞瘤合并心肌梗死、肺炎及脑梗死一例报告

嗜铬细胞瘤合并心肌梗死、肺炎及脑梗死一例报告
张秉义;李慧
【期刊名称】《新医学》
【年(卷),期】2014(000)007
【摘要】Pheochromocytoma originates from adrenal medulla or chromaffin tissues of other organs.The tumors persistently or intermittently release catecholamine,leading to elevated blood pressure,damages to multiple organs and metabolic disorders. Pheochromocytoma is characterized with acute and varying clinical manifestations. In this report,the patient,who was diagnosed with pheochromocytoma,presented with myocar-dial infarction and pneumonia as the primary clinical manifestations,complicated with cerebral infarction,renal functional damages,blood glucose,lipid and electrolyte disorders. Determination of urine catecholamine and metabolites and imaging examination confirmed the diagnosis. Anti-infective
therapy,volume increment,im-proving circulation and controlling blood pressure were timely delivered. Surgery was conducted at three months subsequently and the patient was followed up for two years. The patient had stable physical conditions. Patients with hypertension complicated with myocardial or cerebral infarction have potential risks of pheochromocytoma.Early diagnosis and treatment play a pivotal role in prognosis of pheochromocytoma.%嗜铬细胞瘤起源于肾上腺髓质或其他部位
的嗜铬组织，瘤体持续或间断释放儿茶酚胺，引起血压升高、多脏器损害和代谢紊乱，其病情凶险，临床表现变化多端。

该文报道1例以心肌梗死、肺炎为首要临
床表现，同时并发有脑梗死、肾功能损害以及糖、脂肪、电解质紊乱的嗜铬细胞瘤患者，经血、尿儿茶酚胺及代谢物测定和影像学检查明确诊断，及时给予了抗感染、扩容、改善循环和控制血压等治疗，并于3个月后行手术治疗，随访2年，患者
情况稳定。

临床上对于高血压合并心肌梗死或脑梗塞患者，要警惕嗜铬细胞瘤的可能，早期诊断和治疗对于患者预后有重要意义。

【总页数】4页(P484-487)
【作者】张秉义;李慧
【作者单位】744100 平凉，甘肃华亭煤业集团总医院;744100 平凉，甘肃华亭煤业集团总医院
【正文语种】中文
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