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本文报告2例术前主要临床表现为反复发作头痛、心悸、出汗和血压异常升高。常用诊断嗜铬细胞瘤之检查均为阳性,只有腹膜后充气造影未见肿瘤,但经手术证实为肾上腺髓质增生症。故给临床工作者启示,凡诊断嗜铬细胞瘤患者,如腹膜后造影未见肾上腺肿瘤,除应想到肾上腺之外的好发部位外,应考虑有肾上腺髓质增生症的可能,不应轻易放弃治疗,以免延误治疗,影响预后。
This article reports two cases of preoperative clinical manifestations of recurrent headache, heart palpitations, sweating and abnormally elevated blood pressure. Frequently used diagnostic tests for pheochromocytoma are positive, and only retroperitoneal inflation imaging has no tumors, but it has been confirmed by surgery for adrenal medulla hyperplasia. Therefore, it is instructive to clinicians that patients with pheochromocytoma diagnosed, such as retroperitoneal angiography, do not have adrenal tumors. In addition to considering the predilection sites outside the adrenal glands, the possibility of adrenal medullary hyperplasia should be considered. It should not be easy. Give up treatment, so as not to delay treatment, affect the prognosis.