Ganguly A, Grim C E, Weinberger M H, Henry D P
Hypertension. 1984 Mar-Apr;6(2 Pt 1):281-4.
We present a patient with an adrenal pheochromocytoma with an unusual pattern of periodic alternating hypertension and hypotension. Alpha-adrenergic blockade alone failed to affect this pattern, which was abolished only after fluid repletion. The efficacy of volume expansion in ultimately correcting the wide fluctuations of blood pressure implicates a possible reflex neurogenic mechanism for the cyclic changes in blood pressure attributable to intravascular volume contraction.
我们报告了一名患有肾上腺嗜铬细胞瘤的患者，其具有周期性交替性高血压和低血压的不寻常模式。单独使用α-肾上腺素能阻滞剂未能影响这种模式，只有在补充液体后这种模式才消失。扩容最终纠正血压大幅波动的有效性表明，血管内血容量收缩引起的血压周期性变化可能存在反射性神经源性机制。
