嗜铬细胞瘤误诊原因分析(附20例报告)

pheochromocytoma misdiagnosis analysis(report of 50 cases)

目的探讨嗜铬细胞瘤的临床特征并对其误诊原因进行分析,以提高诊断率降低病死率。方法回顾分析我院急诊科20例嗜铬细胞瘤误诊患者的临床资料。结果本组20例中误诊为原发性高血压8例,误诊为冠心病心律失常5例,误诊为甲状腺功能亢进2例,误诊为心源性左心衰2例,误诊为糖尿病3例,误诊时间为1个月至10年。结论嗜铬细胞瘤临床表现复杂多样,极易误诊导致严重心、脑、肾等脏器损害,甚至危及生命。详细询问病史、完善各项相关检查,可降低初诊误诊率。

Objective To investigate the pheochromocytoma of the clinical features and analysis of their misdiagnosis, to improve the diagnosis rate of mortality. Methods Retrospective analysis of hospital emergency department 20 cases of misdiagnosis of pheochromocytoma in patients with clinical data. Results 20 cases misdiagnosed as essential hypertension, 8 cases misdiagnosed as coronary heart arrhythmia in 5 cases, misdiagnosed as hyperthyroidism in 2 cases, misdiagnosed as cardiac left ventricular failure in 2 cases, 3 cases misdiagnosed as diabetes misdiagnosed for 1 month -10 years. Conclusion The clinical manifestations of pheochromocytoma complex and diverse, easily misdiagnosed cause serious heart, brain, kidney and other organ damage, and even life-threatening. Detailed history, complete the relevant checks, can reduce the misdiagnosis rate of newly diagnosed.