Kobal Sergio L, Paran Esther, Jamali Aamer, Mizrahi Solly, Siegel Robert J, Leor Jonathan
Department of Surgery A, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Nat Clin Pract Cardiovasc Med. 2008 Jan;5(1):53-7. doi: 10.1038/ncpcardio1054.
A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min.
Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning.
Pheochromocytoma--a catecholamine secreting tumor.
Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor.
一名52岁女性因反复出现胸痛、腹痛、呼吸困难、心悸和多汗入院。连续血压记录显示在严重高血压发作和低血压发作之间有节律性交替。这种周期性血液动力学危机持续了2小时，每个周期持续约15分钟。
体格检查、心电图、胸部X线检查、连续动脉内压力监测、血液和尿液分析、超声心动图、腹部CT和131I间碘苄胍扫描。
嗜铬细胞瘤——一种分泌儿茶酚胺的肿瘤。
静脉注射酚妥拉明和补液，口服多沙唑嗪并手术切除肿瘤。
