论文部分内容阅读
本文报告嗜铬细胞瘤34例。肿瘤位于肾上腺者27例(79.4%),位于肾上腺外者7例(20.6%)。24h 尿内VMA 及儿茶酚胺升高者31例(91.2%)。B 超及CT 检查除1例误诊为右肾上极肿瘤外,均获定位诊断。全例均行手术切除,27例痊愈,7例术后血压明显降低,但仍偏高。术前准备极为重要,主要是肾上腺素能阻滞剂的应用,扩充血容量及改善心功能。
This article reports 34 cases of pheochromocytoma. Twenty-seven cases (79.4%) of tumors were located in the adrenal gland and 7 cases (20.6%) were located outside the adrenal gland. Twenty-one hours (91.2%) of urinary VMA and catecholamine elevation were observed in 24 hours. B-ultrasonography and CT scans were all diagnosed except one case misdiagnosed as a right kidney epidural tumor. All cases were surgically removed, 27 cases were cured, and blood pressure was significantly reduced in 7 cases, but it was still high. Preoperative preparation is extremely important, mainly the application of adrenergic blockers, expansion of blood volume and improvement of cardiac function.