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我院近年来收住2例高血压患者临床怀疑嗜铬细胞瘤,经手术及尸解发现为肾上腺外嗜铬细胞瘤。兹报告于下: [例1] 龚×,男,27岁,住院号 48162。1977年5月24日住院。患者于1970年体检时发现高血压,一般波动在160/90～280/200毫米汞柱,伴头昏、头痛。近一个月来,头枕部间歇性疼痛,大量出汗,恶心,呕吐,晕厥,伴有两侧视力明显减退,住院期间发展至双目失明,眼底检查发现双侧视网膜静脉充盈,动脉变细,反光增强呈铜丝状,网膜有棉絮状渗出物及出血。患者后一阶段经常中上腹疼痛,恶心,呕吐,麻痹性肠梗阻,肺水肿等。检查:心尖部Ⅱ级吹风样收缩期杂音。血压:上肢210/160毫米汞柱,下肢300/160～200毫米汞柱外,余均无异常发现。血常规:血红蛋白13.5克％,白细胞13400至30400/立方毫米,中性86％,淋巴10％,单核2％,嗜酸2％。尿常规:蛋白(++),红细胞1～3,白细胞0～1。
In recent years, our hospital has accepted two cases of hyperthyroidism patients suspected of pheochromocytoma, after surgery and autopsy found that extra-adrenal pheochromocytoma. This is reported below: [Example 1] Gong X, male, 27 years old, hospital number 48162. Hospitalized on May 24, 1977. The patient was found to have high blood pressure during the physical examination in 1970 and generally fluctuated at 160/90 to 280/200 mm Hg with dizziness and headache. In the past month, the head occipital region experienced intermittent pain, heavy sweating, nausea, vomiting, syncope, accompanied by diminished visual acuity on both sides, and progressed to blindness during hospitalization. Fundus examination revealed bilateral retinal vein filling and arterial thinning. , Reflective enhanced copper wire, omentum with cotton wool exudate and bleeding. The patient often has abdominal pain, nausea, vomiting, paralytic ileus, and pulmonary edema. Examination: systolic murmur of apical II hair dryer. Blood pressure: The upper limb was 210/160 mm Hg, and the lower limb was 300/160 to 200 mm Hg. No abnormalities were found. Blood routine: hemoglobin 13.5g%, leukocytes 13400 to 30400/mm3, neutral 86%, lymph 10%, mononuclear 2%, acidophilic 2%. Urine routine: protein (++), red blood cells 1 to 3, white blood cells 0 to 1.