以急性心肌损伤为首发表现的嗜铬细胞瘤1例  

A case report of pheochromocytoma presenting with acute myocardial injury

作　　者：陈哲[1] 殷洪山[1] 齐琪[1] 王涛[1] 张晓光[1] 姜志安[1] CHEN Zhe;YIN Hongshan;QI Qi;WANG Tao;ZHANG Xiaoguang;JIANG Zhian(The 2nd Department of Cardiology,The Third Hospital of Hebei Medical University,Shijiazhuang,050051,China)

机构地区：[1]河北医科大学第三医院心血管2科,石家庄050051

出　　处：《临床心血管病杂志》2021年第5期492-494,共3页Journal of Clinical Cardiology

基　　金：河北省引进留学人员资助项目(No:C201852)。

摘　　要：1病例资料患者,男,68岁,因"间断胸闷胸痛16 h"于2018年12月10日入院。患者16 h前无明显诱因出现胸闷、胸痛,为心前区压榨紧缩感,伴眩晕、大汗、恶心、呕吐,持续约30 min,经休息缓解。4 h前再次出现胸闷,伴一过性意识丧失,约半分钟后意识恢复,醒后无肢体活动障碍。急到我院就诊,测血压66/47 mmHg(1 mmHg=0.133kPa)。An old patient with acute myocardial injury caused by pheochromocytoma was reported.He was a 68-year-old male patient and suffered from paroxysmal chest tightness and chest pain for 16 hours without obvious inducement.Acute myocardial injury and recurrent hypotension were the main manifestations during hospitalization.After a series of examinations,the final diagnosis was pheochromocytoma.After adrenalectomy,the patient had recovered well without any complaints in follow up for 20 months.Pheochromocytoma may have a variety of clinical features including myocardial injury.

关 键 词：嗜铬细胞瘤 急性心肌损伤 低血压 

分 类 号：R736.6[医药卫生—肿瘤] R544.2[医药卫生—临床医学]