Ziegler W H
Schweiz Med Wochenschr. 1976 Aug 21;106(34):1148-50.
Elevated urinary catecholamines and their metabolites are the only findings which confirm the presence of pheochromocytoma. This examination is of particular interest if carried out in urine produced after spontaneous hypertensive episodes. Pharmacologic tests when carried out under standard conditions have proven to be a reliable aid in cases of suspected pheochromocytoma. Roentgenographic studies, determination of local plasma catecholamine concentrations and blood volume control should be undertaken in these patients before surgical procedure.
尿儿茶酚胺及其代谢产物升高是确诊嗜铬细胞瘤的唯一依据。如果在自发性高血压发作后产生的尿液中进行此项检查,则尤为重要。在标准条件下进行的药理试验已证明对疑似嗜铬细胞瘤病例是一种可靠的辅助手段。在这些患者进行手术前,应进行X线检查、测定局部血浆儿茶酚胺浓度及血容量控制。