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目的:探讨嗜铬细胞瘤患者心血管系统病理特征。方法:对患嗜铬细胞瘤死亡者病历与解剖资料进行回顾性分析。结果:心血管病变表现为细小动脉管壁变性、纤维素样坏死、主动脉粥样硬化及急性心肌缺血性改变。结论:嗜铬细胞瘤释放儿茶酚胺类激素导致恶性高血压性心血管病变;尸体解剖有助于明确诊断,为解决此类医疗纠纷提供可靠的证据。
Objective: To investigate the pathological features of cardiovascular system in patients with pheochromocytoma. Methods: The medical records and anatomical data of death from pheochromocytoma were retrospectively analyzed. Results: Cardiovascular disease manifested as small artery wall degeneration, fibrinoid necrosis, aortic atherosclerosis and acute myocardial ischemic changes. CONCLUSION: The release of catecholamine hormones by pheochromocytoma leads to malignant hypertensive cardiovascular disease. The autopsy helps to confirm the diagnosis and provides reliable evidence for resolving such medical disputes.