摘要
目的研究与嗜铬细胞瘤有关的心绞痛特点。方法采用回顾分析方法,分析我院及我校一院自70年代以来30 年间嗜铬细胞瘤伴有较典型心绞痛患者20例。结果与嗜铬细胞瘤有关的心绞痛发病率占整个嗜铬细胞瘤患者的16%。该 心绞痛心电图可以是心肌劳损、心肌梗死或正常心电图。其血尿儿茶酚胶水平仅部分患者升高。结论嗜铬细胞瘤伴有心绞 痛的发生率较高;发生心绞痛的患者,血尿儿茶酚胺水平及心电图均可以正常,术前诊断肾上腺超声及CT较重要,对于该心 绞痛治疗,钙拮抗剂可能有较好疗效。
Objective To study the characteristics of angina pectoris relating to phaeochromocytoma. Methods We anal- ysed the clinical data of patients with phaeochromocytoma in our hospital and the first teaching hospital of our university by use of retrospective study. Results Morbidity of the angina pectoris was 16%. The electrocardiography of the patients with the angina pectoris relating to phaeochromocytoma varied from the myocardial ischemia, infarction to normal. The lev- el in cateholamine of patient's blood and urine might be increased to normal. Conalusion Morbidity of the angina pectoris is high in the patients with phaeochromocytoma, and the catecholamine amount in their blood and urine is probably normal in those patients. Antagonist of Ca^2+ may be administrated to patients who suffer from angina pectoris relating to phaeochromocytoma
出处
《中国实验诊断学》
2000年第2期68-70,共3页
Chinese Journal of Laboratory Diagnosis
关键词
嗜铬细胞瘤
儿茶酚胺
心绞痛
Phaeochromocytoma
Catecholamine
Angina pectoris