论文部分内容阅读
小儿嗜铬细胞瘤主要症状是高血压,少数引起高血压脑病。该文报告1例出现脊髓横断症状的异位性嗜铬细胞瘤。病例女,13岁。1984年1月19日晚出现阵发性、移动性剧烈腹痛,右下肢钝痛,1～2小时后,双下肢麻木,不能站立。既往无高血压,母亲、外祖母、舅、姨患高血压。舅44岁猝死。母孕第2胎时曾患高血压。查体:脉膊93次/分、血压21.9/14.7kPa,神志清,颈部及心肺无异常,腹胀明显,肠鸣音减弱,无压疼及抵抗,肝肋下一横指,未触及脾、肾及肿物。双上肢腱反射正常,下肢消失,呈驰缓性麻痹,无肌萎缩,双侧巴氏征阳性,
The main symptoms of pheochromocytoma in children are hypertension, and a few cause hypertensive encephalopathy. An ectopic pheochromocytoma with spinal cord transverse symptoms was reported in this article. Female case, 13 years old. On the evening of January 19, 1984, there was paroxysmal and mobile severe abdominal pain, dull pain in the right lower limb, and numbness in both lower extremities after 1-2 hours. No previous high blood pressure, mother, grandmother, deafness, suffering from high blood pressure.舅 44 years old died suddenly. She suffered from high blood pressure during her second trimester. Physical examination: Pulses 93 beats/min, blood pressure 21.9/14.7 kPa, clear mind, no abnormalities in the neck and heart and lungs, obvious bloating, weakened bowel sounds, no pressure, pain, and resistance. Liver ribs, lower transverse finger, untouched spleen Kidneys and tumors. The upper limbs had normal tendon reflexes, and the lower extremities disappeared. They exhibited palliative paralysis, no muscle atrophy, and positive Bivalley’s sign.