The 32 -year -old lady's blood pressure like a "roller coaster" is originally a hidden "mines" in the body

The Yangtze River Daily Da Wuhan Client August 30th. There is no family inheritance and good living habits. Ms. Wu, 32, has suffered from hypertension for three years, and her blood pressure has soared to 220/140 mm Hg. good. Until recently, Ms. Wu checked that she learned that a tumor had grown on the adrenal glands and secreted a large number of childide to cause blood pressure to soar. When the tumor was removed, the patient's blood pressure rose steadily like a roller coaster. Fortunately, the medical team went all out and successfully "demolished" the patients.

Three years ago, Ms. Wu accidentally found that she had hypertension at a medical examination, which made her wondering. According to Ms. Wu, her parents did not have any diseases, and her living habits were also good. "Isn't hypertension an elderly sick? How can I suffer from hypertension at a young age?"

After discovering that she was sick, Ms. Wu kept controlling blood pressure by taking antihypertensive drugs, but the effect was very unsatisfactory. A month ago, Ms. Wu had symptoms such as panic, dizziness, and headache. She went to the Fourth Hospital of Wuhan City for treatment and found that her blood pressure was as high as 220/140 mm Hg. Knowing that Ms. Wu has been taking antihypertensive drugs, but the effect is not good. Doctors suspect that the patient is not primary hypertension, but is caused by other diseases. It is recommended to check in detail.

The examination found that the patient's left adrenal area had a lump with a diameter of about 5 cm.

"If the patient's onset age is mild, the initial hypertension is above 160/100 mm Hg, and the effect of using antihypertensive drugs is not obvious, and blood pressure fluctuations are large. Secondary hypertension caused by diseases such as tumors. "Director Zheng Tao, the Department of Urology of the hospital, explained. Later, after examination and adrenal functional examination, the doctor found that Ms. Wu's left adrenal area had a lump with a diameter of about 5 cm. The diagnosis may be a hypertension caused by "pheochromic tumor".

Director Zheng Tao introduced that pheochromic tumor is a tumor formed by abnormal growth of chromium -only cells. The tumor will continuously or intermittently release a large number of child catecholamine, which will cause persistent or paroxysmal hypertension and multiple functional metabolism disorders. When the lump is removed, once the doctor touches the tumor, the laxhenol hormone in the tumor releases the blood, which will cause the patient's blood pressure to soar rapidly; after the tumor is removed, the cateoline hormone will be reduced, the vascular dilation, and the blood pressure will drop suddenly. Suddenly high and low like the blood pressure of roller coaster will greatly increase the risk of anesthesia and surgery, and tumor surgery is like removing mines.

Before surgery, the surgery team jointly formulated a detailed surgical plan for Ms. Wu for Ms. Wu to prepare pre -surgery before controlling blood pressure and blood supplement capacity to reduce the risk during the operation. During the surgery, the master doctor tried to avoid squeezing the tumor to reduce the fluctuation of the patient's blood pressure. During the operation, Ms. Wu's blood pressure soared to 180/110 mm Hg. "Along with the fluctuation of blood pressure, the heart of the doctor and nurse is also like a roller coaster." Director Zheng Tao said, fortunately, after the close cooperation of urology doctors, anesthesia experts, and surgery nurses, the tumor in Ms. Wu was removed smoothly, postoperative pathological examination Determine it as a celloma. At present, after a month of observation, Ms. Wu has returned to normal blood pressure.

"Cytocytoma is a rare endocrine tumor. The tumor body secretes the" 茶 “phenoline 'with lift blood pressure." Director Zheng Tao introduced that patients with pheoinomyatoma are mostly young and adequate. During the stimulation of squeezing and surgery, the tumor secretes a large number of catecholamine, and the blood pressure has soared sharply. Patients may develop symptoms such as persistent or paroxysmal hypertension, headache, sweating, palpitations, and even cause heart failure and myocardial infarction. At the same time, excessive secretion of catecholamine can also cause various clinical manifestations such as abdominal pain, abdominal distension, weight loss, constipation or diarrhea, and high blood sugar.

Director Zheng Tao reminded that it is difficult to discover the early days of cell tumors, which can easily cause misdiagnosis and missed diagnosis, so it is necessary for regular medical examinations. Patients with younger hypertension, especially when stubborn hypertension, symptoms of headache, sweating, palpitations such as unknown reasons, need to be eliminated for secondary diseases. And take symptomatic treatment. (Yangjiang Daily reporter Wuye correspondent Chen Mengyuan Chen Jun)

[Edit: Yu Lina]

For more exciting content, please download the "Da Wuhan" client in the major application markets.

- END -