嗜铬细胞瘤26例临床分析

目的本文对２６例经手术病理证实的嗜铬细胞瘤进行回顾性分析。结果嗜铬细胞瘤临床主要表现为阵发性高血压,头痛、心悸、大汗等症状。不典型临床表现有：（１）无症状;（２）进行性视力下降;（３）脑血管意外。综合本组病例的临床资料,诊断嗜铬细胞瘤的要点有：（１）病史中存在阵发性高血压的线索;（２）血中儿茶酚胺浓度增高;（３）１３１Ｉ－ＭＩＢＧ对诊断嗜铬细胞瘤具有高的敏感性和特异性,并兼有定位及定性诊断价值

Clinical analysis of 26 cases of pheochromocytoma

To sumerize the clinical characters of pheochromocytoma, clinical data of 26 patients with pheochromocytoma pathologically diagnosed were analyzed.The main characters of pheochromocytoma included proxymal hypertension, headache, palpitation, sweeting and so on. Atypical features may occured as: sympatomless, progressing decrease eyesight, celebrovascular accidents.The key points of diagnosis of pheochromocytoma were concluded as follow: a history of paroxymal hypertension;an increased concentration of plasma catecholamines; 131 I MIBG was a high sensitive and specific method with qualitative and orientative value.