Mok C C, Ip T P, So C C
University Department of Medicine, Queen Mary Hospital, Pokfulam, Hong Kong.
Med J Aust. 1997 Jun 16;166(12):634-5. doi: 10.5694/j.1326-5377.1997.tb123298.x.
Phaeochromocytomas are rare tumours that most commonly present with chronic sustained hypertension and hypertensive paroxysms or crises. We report a 49-year-old woman with unsuspected phaeochromocytoma who presented with sudden onset of profound hypotension and adult respiratory distress syndrome unresponsive to fluid and inotropic support. This case illustrates the diversity of presentations of phaeochromocytoma, depending on the type and amount of catecholamines secreted.
嗜铬细胞瘤是一种罕见的肿瘤，最常见的表现是慢性持续性高血压以及高血压阵发性发作或危象。我们报告了一名49岁的女性，她患有未被怀疑的嗜铬细胞瘤，表现为突然发生的严重低血压和对液体及血管活性药物支持无反应的成人呼吸窘迫综合征。该病例说明了嗜铬细胞瘤临床表现的多样性，这取决于所分泌儿茶酚胺的类型和数量。
