Hocqueloux L, Barboteu M, Vincent F, Meria P, Le Gall J R
Service de réanimation médicale, hôpital Saint-Louis, Paris.
Arch Mal Coeur Vaiss. 1997 Sep;90(9):1313-6.
A tumour arising from chromaffin cells, the pheochromocytoma may be associated or present with hypotension and result in a lethal shock. The authors report a rare case of pheochromocytoma simulating septic shock. They review the mechanisms by which hypersecretion of catecholamines may cause shock. The detection of pheochromocytoma in its atypical presentation is essential for early diagnosis and the reduction of mortality related to this condition.
嗜铬细胞瘤是一种起源于嗜铬细胞的肿瘤,可能伴有低血压或出现低血压症状,并导致致命性休克。作者报告了一例罕见的模拟感染性休克的嗜铬细胞瘤病例。他们回顾了儿茶酚胺分泌过多可能导致休克的机制。在非典型表现中检测嗜铬细胞瘤对于早期诊断和降低与该疾病相关的死亡率至关重要。