摘要
患者青年女性。以阵发性心悸、多汗、头痛、血压升高为表现,检测儿茶酚胺及代谢产物甲氧基肾上腺素类(MNs)水平增高,基因检测为琥珀酸脱氢酶亚基B(SDHB)错义突变,影像学检查发现由冠状动脉左回旋支供血的纵隔肿瘤(40 mm×38 mm),经充分药物准备后在体外循环下行肿瘤手术切除,术后病理确诊为心脏副神经节瘤。患者术后3个月随诊复查血压、MNs正常,并对其家系进行了研究追随。
作者
郑飞
徐瑞
曾正陪
刘春雷
段艳华
程召平
孙青
刘群
王明华
韩鹏熙
王月兰
王建宁
黄文
郭晓红
杨晓庆
Zheng Fei;Xu Rui;Zeng Zhengpei;Liu Chunlei;Duan Yanhua;Cheng Zhaoping;Sun Qing;Liu Qun;Wang Minghua;Han Pengxi;Wang Yuelan;Wang Jianning;Huang Wen;Guo Xiaohong;Yang Xiaoqing(Department of Cardiology,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Endocrinology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of PET/CT,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Pathology,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Cardiac Surgery,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Imaging,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Anesthesiology,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Urinary Surgery,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of Echocardiography,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China)
出处
《中华内科杂志》
CAS
CSCD
北大核心
2021年第10期910-914,共5页
Chinese Journal of Internal Medicine
