摘要
目的:探讨嗜铬细胞瘤(PHEO)的临床特点。方法:回顾性分析55例PHEO的临床资料。结果:肾上腺PHEO占87%,肾上腺外占13%,恶性占9%。阵发高血压型占65%。24h尿VMA、5h尿VMA/Cr测定、B超、CT或MR、131I-MIBG测查阳性率分别为85%、75%、82%、96%、96%。结论:PHEO临床表现复杂多样,病程长、病情重者引发心、脑、肾、消化、内分泌等系统严重并发症。充分的术前准备十分重要。
Objective: To evaluate the clinical characteristics of pheochromocytoma(PHEO). Methods: The clinical characteristics of 55 cases of PHEO were retrospectively analyzed. Results: 48 cases(87%) were adrenal PHEO,7 cases (13%) were extra-adrenal PHEO,5 cases(9%) were malignant and 65% patients presented sudden hypertension. The positive rate of 24-hour urine VMA、5-hour urine VMA/Cr、B-uhrasound、CT or MR and ^131I-MIBG were 85%、75%、82%、 96% and 96% respectively. Conclusions: The clinical characteristics of PHEO are complex and multiplicity. Those without correct preoperative preparation have potentially serious danger. Meticulous preoperative preparation is extremely important.
出处
《岭南急诊医学杂志》
2006年第5期341-342,共2页
Lingnan Journal of Emergency Medicine
关键词
嗜铬细胞瘤
临床特征
术前准备
pheochromocytoma
clinical features
preoperative preparation