对18例酷似嗜铬细胞瘤的围绝经期高血压病案进行临床分析。显示女性45～55岁或手术绝经者出现的发作性血压升高及其伴随的头痛、出汗、心悸等症状与嗜铬细胞瘤的阵发性高血压极其相似。临床上应在排除嗜铬细胞瘤等继发性高血压后，考虑围绝经期高血压的可能性。结合性激素、促性腺激素的测定，给予尼尔雌醇和中西药结合疗法，有较好的临床效果。 18 cases of pheochromocytoma similar to the case of perimenopausal hypertension for clinical analysis. Show that women 45 to 55 years of age or surgical menopause appear in patients with paroxysmal hypertension and its accompanying headache, sweating, palpitations and other symptoms and paroxysmal hypertension. Clinically should exclude pheochromocytoma and other secondary hypertension, consider the possibility of perimenopausal hypertension. Combination of sex hormones, gonadotropin determination, given nilestriol and western medicine combination therapy, have a good clinical effect.