摘要
对48例嗜铬细胞瘤和肾上腺髓质增生患者的心脏损害(即儿茶酚胺心肌病)进行了观察分析。结果表明,有心脏损害组与无心脏损害组在年龄、病程、肿瘤部位和大小上无明显差异,但在24小时尿VMA含量和高血压发作类型上有明显差异,提示儿茶酚胺持续大量分泌易造成心肌损害,并显示该病的发生并非少见,UCG是诊断该病较敏感的手段。
Fourty eight cases of pheochromocytoma and adrenal medullary hyperplasia confirmed by pathology were analysed. According to clinical manifestations, EKG, UCG and radiograph-ical findings, they were divided into two groups: group 1,23 cases (48.9%) without cate-cholamine-induced cardiomyopathy and group 2,25 cases (52.1%) with catecholamine-in-duced cardiomyopathy. There were no significant differences between the two groups in age, duration of disease, size and location of the pheochromocytomas. Significant differences were found in urine VMA content and types of hypertension between the two groups (P<0. 01). The results suggest that continuous secretion of large amount of the catecholamine may damage the myocardis, which is not an infrequent complication and UCG is a sensitive method for the diagnosis of the disease.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
1996年第1期6-8,共3页
Chinese Journal of Endocrinology and Metabolism