临床误诊误治2018，Vol.31Issue(2)：27-29,3.DOI:10.3969/j.issn.1002-3429.2018.02.008
不典型嗜铬细胞瘤误诊七例原因分析
Clinical Misdiagnosis causes analysis of 7 Cases of Atypical Pheochromocytoma
摘要
Abstract
Objective To investigate the clinical characteristics,misdiagnosis causes and prevent measure of atypical pheochromocytoma (PHEO). Methods 7 case of 36 patients with PHEO who were misdiagnosed as other diseases were se-lected as the subjects admitted to our hospital from January 2008 to December 2016. The clinical data were analyzed by retro-spective analysis. Results The group of 7 cases misdiagnosed rate was 19.4%,due to palpitations,dizziness,1 case,ma-trix tactic palpitation,dizziness,1 case of treatment,dizziness,headache plus chest tightness and syncope 2 hours 1 case,1 case of polyuria treatment, dizziness, low back pain and visual treatment of 2 cases, 1 case of paroxysmal and fluctuating headache. Misdiagnosed as viral myocarditis in 2 cases,1 case of vascular headache,acute anterior myocardial infarction,hy-pertension in 1 case,1 case of diabetes and glomerulonephritis in 2 cases,Misdiagnosis time was 4 d~5 years. All patients underwent surgical resection of the tumor,which is located in the left kidney in 3 cases,3 cases of right kidney,1 case of in-ferior vena cava. After surgery, blood pressure, blood sugar and so returned to normal, the condition improved after dis-charge,followed up for 3 months to 3 years better prognosis. Conclusion Atypical PHEO patients lack specific clinical symptoms and signs,so clinicians should strengthen the vigilance of atypical PHEO and the clinical manifestations,signs and imaging findings of the understanding and understanding,reduce or avoid the disease misdiagnosis,improve the level of diag-nosis and treatment of doctors to improve the prognosis of patients.关键词
嗜铬细胞瘤/误诊/心肌炎/肾小球肾炎Key words
Pheochromocytoma/Misdiagnosis/Myocarditis/Glomerulonephritis分类
医药卫生引用本文复制引用
陈进,姜淮芜,彭方兴,周航宇,吴宸..不典型嗜铬细胞瘤误诊七例原因分析[J].临床误诊误治,2018,31(2):27-29,3.基金项目
四川省基层卫生事业发展研究项目(SJWF1428) （SJWF1428）
