与嗜铬细胞瘤有关的心绞痛临床分析  

Angina Pectoris Relating to Phaeochromocytoma-Analysis of 20 cases

作　　者：孟繁波[1] 段修康 赵林阳[1] 张木兰[1] 连晶波 

机构地区：[1]长春白求恩医科大学三院心内科,吉林长春130021 [2]武警吉林总队干休所

出　　处：《中国实验诊断学》2000年第2期68-70,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的研究与嗜铬细胞瘤有关的心绞痛特点。方法采用回顾分析方法，分析我院及我校一院自７０年代以来３０ 年间嗜铬细胞瘤伴有较典型心绞痛患者２０例。结果与嗜铬细胞瘤有关的心绞痛发病率占整个嗜铬细胞瘤患者的１６％。该 心绞痛心电图可以是心肌劳损、心肌梗死或正常心电图。其血尿儿茶酚胶水平仅部分患者升高。结论嗜铬细胞瘤伴有心绞 痛的发生率较高；发生心绞痛的患者，血尿儿茶酚胺水平及心电图均可以正常，术前诊断肾上腺超声及ＣＴ较重要，对于该心 绞痛治疗，钙拮抗剂可能有较好疗效。Objective To study the characteristics of angina pectoris relating to phaeochromocytoma. Methods We anal- ysed the clinical data of patients with phaeochromocytoma in our hospital and the first teaching hospital of our university by use of retrospective study. Results Morbidity of the angina pectoris was 16%. The electrocardiography of the patients with the angina pectoris relating to phaeochromocytoma varied from the myocardial ischemia, infarction to normal. The lev- el in cateholamine of patient's blood and urine might be increased to normal. Conalusion Morbidity of the angina pectoris is high in the patients with phaeochromocytoma, and the catecholamine amount in their blood and urine is probably normal in those patients. Antagonist of Ca^2+ may be administrated to patients who suffer from angina pectoris relating to phaeochromocytoma

关 键 词：嗜铬细胞瘤 儿茶酚胺 心绞痛 

分 类 号：R541.4[医药卫生—心血管疾病]