嗜铬细胞瘤的主要临床表现 徐小红 浙江大学医学院附属第二医院

嗜铬细胞瘤的主要临床表现 徐小红 浙江大学医学院附属第二医院
嗜铬细胞瘤的临床表现每个人都可以不一样。有的病人在拖地的时候血压会高，有些病人小便的时候血压会高，就是跟体位有关系，所以说如果是跟体位有关系，血压一下阵发性增高的时候也要想到嗜铬细胞瘤的可能。其实是嗜铬细胞瘤最大的一个特点就是血压波动很大，正常的原发性高血压的病人可能血压基本上有一定的规律，但是嗜铬细胞瘤的血压增高可以没有任何规律，有的时候完全是表现一阵阵的，血压波动大，它可以很高，也可以很低，甚至可以低于正常的。然后又跟体位或情绪紧张或某些药物有关，比如做增强CT的时候，要打造影剂，这个时候可以诱发高血压。

The main clinical manifestations of pheochromocytoma
The clinical manifestations of pheochromocytoma can be different for everyone. Some patients have high blood pressure when they mop the floor, Some patients have high blood pressure when they urinate, It's about position, So if it's related to position, The possibility of pheochromocytoma should also be considered when the blood pressure suddenly increases. In fact, the biggest feature of pheochromocytoma is that blood pressure fluctuates greatly, The blood pressure of patients with normal essential hypertension may be basically regular, But the increase of blood pressure in pheochromocytoma can be irregular, Sometimes it's just a show, Blood pressure fluctuates greatly, It can be very high, It can be very low, It can be even lower than normal. And then it's related to posture or emotional tension or certain drugs, For example, when doing enhanced CT, To create the shadow agent, This can induce high blood pressure.