Shaw T R, Rafferty P, Tait G W
Br Heart J. 1987 Feb;57(2):194-8. doi: 10.1136/hrt.57.2.194.
A patient admitted to hospital after injury to the abdomen was found to have transient hypertension which was followed by profound hypotension. ST elevation developed and extensive myocardial akinesia was seen at echocardiography, but coronary angiograms at this stage were normal. After treatment with intravenous fluids and dopamine he progressively recovered normal cardiac function. A partly necrotic catecholamine secreting tumour was later removed from the abdomen and it is likely that a kick to the abdomen had damaged the tumour and the consequent release of catecholamine had triggered a phaeochromocytoma crisis.
一名腹部受伤后入院的患者被发现有短暂性高血压，随后出现严重低血压。出现ST段抬高，超声心动图显示广泛心肌运动不能，但此时冠状动脉造影正常。经静脉补液和多巴胺治疗后，他逐渐恢复了正常心脏功能。后来从腹部切除了一个部分坏死的分泌儿茶酚胺的肿瘤，很可能是腹部受到的一脚损伤了肿瘤，儿茶酚胺随之释放引发了嗜铬细胞瘤危象。
