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嗜铬细胞瘤为小儿高血压发病原因之一,约占小儿高血压的0.5—1%。关于嗜铬细胞瘤并发高血压危象的报导甚少,本文报导嗜铬细胞瘤并发高血压危象一例。病历摘要患儿卢××,男,11岁,山东莒县人,住院号:242630,主诉因疲乏无力三年,加重并发作性恶心、呕吐、腹痛3个月,以高血压原因待诊于1981年4月15日入院。入院前,患儿在当地反复误诊为风湿性心脏病,未注意到血压。患儿系第三胎,生后健康。无高血压家族史。入院查体:体重:21.5公斤,体温:37℃,呼吸:20次/分,心率:160次/分,血压:210/150毫米汞柱(上肢),230/180毫米汞柱(下肢),生长发育及营养欠
Pheochromocytoma is one of the causes of pediatric hypertension, accounting for about 0.5-1% of pediatric hypertension. There are very few reports of hypertensive crisis involving pheochromocytoma. This article reports pheochromocytoma with a case of hypertensive crisis. Medical records of children Lu × ×, male, 11 years old, Shandong Yixian, hospital number: 242630, chief complaint due to fatigue for three years, aggravated nausea, vomiting, abdominal pain for 3 months, to be diagnosed with hypertension Admitted to hospital on April 15, 1981. Before admission, children were repeatedly misdiagnosed as rheumatic heart disease in the local area and did not notice blood pressure. The child is a third child and is healthy after birth. No family history of hypertension. Admission examination: weight: 21.5 kg, body temperature: 37°C, respiration: 20 beats/minute, heart rate: 160 beats/minute, blood pressure: 210/150 mm Hg (upper limb), 230/180 mm Hg (lower limb), Growth and nutrition