论文部分内容阅读
阵发性或持续性高血压是98%以上的嗜铬细胞瘤患者的特征性表现。作者报告1例不明原因发热而血压始终正常的患者。镓(Ga)摄象确定左侧肾上腺区域有一肿瘤,经外科切除证实为嗜铬细胞瘤。患者女性,56岁。因盗汗、不适、虚弱和体重减轻(11Kg)6个月而入院。患者发热37.8℃,中度心动过速(90/min),血压110/70mmHg。在以后6周内,患者持续发热(37~38℃),但血压正常。入院时血红蛋白10.6g/dl,血清铁279μg/dl,血沉
Paroxysmal or persistent hypertension is a characteristic manifestation of 98% of patients with pheochromocytoma. The authors reported 1 patient who had unexplained fever and had normal blood pressure. Gallium (Ga) imaging confirmed a tumor in the left adrenal area that was confirmed by surgical excision as pheochromocytoma. Patient female, 56 years old. Admitted to hospital for sweating, malaise, weakness and weight loss (11Kg) for 6 months. Patients with fever 37.8 ℃, moderate tachycardia (90 / min), blood pressure 110 / 70mmHg. In the next 6 weeks, the patient sustained fever (37 ~ 38 ℃), but normal blood pressure. Admission hemoglobin 10.6g / dl, serum iron 279μg / dl, ESR