儿茶酚胺症诊治分析(附32例报告)

A clinical analysis of catecholamines

目的 :提高儿茶酚胺症的诊治水平。方法 :回顾性分析 32例儿茶酚胺症患者的临床资料 ,总结该病的主要临床症状、诊断依据、手术治疗及术前、术中和术后控制血压的方法。结果 :2 6例 (6例未获随访 )术后随访4个月～ 2 0年 ,患者血压恢复正常 ,尿VMA降至正常。死亡 2例 ,其中 1例为腹膜后嗜铬细胞瘤复发 ,术后 8个月死于脑血管意外 ;另 1例术后 1年出现双肺及肝、骨转移 ,1 8个月后死亡。结论 :手术是儿茶酚胺症的根本治疗方法 ;

Purpose:To improve the diagnosis and treatment of catecholamines.Methods:The clinical date of 32 patients was reviewed retrospectively. We summarized the clinical features, diagnosis data and perioperational control of blood pressure.Results:After excision of the tumors, 26 patients have been followed up for 4 months to 20 years. The blood pressure became normal in 24 patients and the symptoms vanished. Two died of tumor recurrence: one occurred at retroperitoneal space the other found lung and liver metastasis.Conclusions:Surgery was its essential treatment. It is absolutely necessary for clear diagnosis and appropriate prepare before surgery.