Wang L L, Liu L H, Jin L, Yue X H, Fan D J, Zhao P Z, Liu X J, Su X Z
Proc Chin Acad Med Sci Peking Union Med Coll. 1989;4(1):48-51.
To improve the diagnosis and management of pheochromocytoma, the results from a comparative study of 34 patients with pheochromocytoma, 33 patients with essential hypertension and 36 normal volunteers are presented. Our data suggest that clinical characteristics indicate the possibility of pheochromocytoma only, while the definite diagnosis of pheochromocytoma must be based on comprehensive analysis of all data obtained from both clinical and laboratory studies. The plasma concentration of free norepinephrine in peripheral veins is helpful in establishing the presence or absence of pheochromocytoma. Both CT scan and meta-I-131-iodobenzylguanidine images are useful noninvasive techniques for localization of pheochromocytoma. Phenoxybenzamine is of benefit in both diagnosis and management of patients with pheochromocytoma.
为改善嗜铬细胞瘤的诊断与治疗，本文呈现了对34例嗜铬细胞瘤患者、33例原发性高血压患者及36名正常志愿者的对比研究结果。我们的数据表明，临床特征仅提示嗜铬细胞瘤的可能性，而嗜铬细胞瘤的确切诊断必须基于对临床和实验室研究获取的所有数据进行综合分析。外周静脉血中游离去甲肾上腺素的血浆浓度有助于确定嗜铬细胞瘤的存在与否。CT扫描和间位碘代苄胍（meta-I-131-iodobenzylguanidine）显像都是用于嗜铬细胞瘤定位的有用无创技术。酚苄明对嗜铬细胞瘤患者的诊断和治疗均有益处。
