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本文对72例嗜铬细胞瘤的诊断进行分析。肿瘤位于肾上腺者52例,肾上腺外者20例。10例为恶性。全部病例皆有高血压,呈持续性者43例,阵发性发作者29例。7例在疾病过程中出现低血压休克。尿儿茶酚胺的测定对于该病的诊断具有特殊重要意义,VMA的测定具有相似的临床意义。本组作B型超声波检查者均得阳性结果,可作为首选定位检查方法。
This article analyzes the diagnosis of 72 cases of pheochromocytoma. Twenty-two tumors were located in the adrenal gland and 20 in the adrenal gland. 10 cases were malignant. All cases had high blood pressure, 43 cases were persistent, and 29 cases were paroxysmal. Seven patients developed hypotensive shock during the course of the disease. The determination of urinary catecholamines is of special significance for the diagnosis of this disease, and the determination of VMA has similar clinical significance. This group had positive results for B-mode ultrasound examinations and could be used as the preferred method of positioning examination.