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随着诊断技术的提高,在高血压病人中嗜铬细胞瘤的检出率逐渐增多,其治疗问题与定位诊断有着密切的关系。但即使定位明确后在手术前的处理如有不妥,则手术危险性仍很大,必须慎重对待。一、术前的定位方法与评价: 当在高血压病人中发现尿液儿茶酚胺或V.M.A.升高或血液儿茶酚胺值高于正常时,经过其他一系列检查拟诊为嗜铬细胞瘤后,极重要的一点是作好定位诊断。以便选择适当的切口。除有明显腹块可扪及的病例外,大多需进行一系列的检查。 1.肾上腺素与去甲肾上腺素值的比例诊断异位嗜
With the improvement of diagnostic techniques, the detection rate of pheochromocytoma in hypertensive patients has gradually increased, and its treatment problems are closely related to the diagnosis of localization. However, even if there is something wrong with the treatment before the operation is done, the surgical risk is still great and must be treated with caution. First, the preoperative positioning methods and evaluation: When found in hypertensive patients urinary catecholamine or VMA increased or blood catecholamine value is higher than normal, after a series of other tests to be diagnosed as pheochromocytoma, it is very important One point is to make a position diagnosis. So that you can choose the right incision. Except for cases with obvious abdominal masses, most of them require a series of tests. 1. The ratio of epinephrine to norepinephrine in the diagnosis of ectopic addiction