嗜铬细胞瘤患者心血管病理特征:附6例报告

Cardiovascular pathological characteristics caused by pheochromocytoma:analysis of 6 cases

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 study cardiovascular pathological characteristics in patients with pheochromocytoma. Method：Medical records and autopsy reports of patients with pheochrornocytoma were analyzed retrospectively. Result：The pathological changes may be small arteries degeneration, fibrinoid necrosis, aortic atherosclerosis or acute myocardial ischemia. Conclusion：Catecholamine hormone released by pheoehromoeytoma results in cardiovas- cular pathological changes of malignant hypertension. Post-mortem examination is conducive to establish diagnosis and obtain reliable evidence for medical tangle initiated by pheochromoeytoma.