Andersen P T, Baadsgaard S E, Larsen B P
Acta Chir Scand. 1986 Jan;152:69-70.
Recurrent abdominal pain was the only subjective manifestation in a case of pheochromocytoma with retroperitoneal bleeding. At emergency laparotomy the tumor, showing signs of fresh and earlier bleeding, was extirpated. Sinus-type tachycardia was treated with beta-blockade peroperatively, while the diagnosis was still obscure, but hypertension did not follow. Meta-oxedrine and dopamine infusion was continued for 48 hours to sustain the blood pressure. Recovery was uneventful.
复发性腹痛是一例伴有腹膜后出血的嗜铬细胞瘤唯一的主观表现。在急诊剖腹手术中,发现肿瘤有新鲜出血及陈旧性出血迹象,遂将其切除。术中诊断尚不明确时,用β受体阻滞剂治疗窦性心动过速,但未出现高血压。继续静脉输注间羟胺和多巴胺48小时以维持血压。患者恢复顺利。