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pheochromocytom. 7 (3) Baiyan. Where are you from? Where are you living now? What about the family members?. E: epinephrine NE:norepinephrine ACTH CRH GHRH CGRP ANP VIP NPY SS AM. work. α receptor: α 1, α 2 smooth muscle + or – β receptor: β 1, β 2
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pheochromocytom 7 (3) Baiyan
Where are you from? • Where are you living now? • What about the family members?
E: epinephrine NE:norepinephrine ACTH CRH GHRH CGRP ANP VIP NPY SS AM
work • αreceptor: α1, α2 • smooth muscle + or – • β receptor: β1, β2 • smooth muscle - • heart +
Hypertension hypotension shock • Cardiac arrhythmia heart failure • Metabolism arrhythmia :fat,glucose,K,Ca
CA VMA MN NMN HVA • Stimulate test: cold • glucagon • Inhibit test: regitine • clonidine
CT • MR • B • I131-MIBG
Operation αrecepter blocker βrecepter blocker Blood volume preparetion
The end • 75% one month normal • 25% drug treatment • <10% coming again • The bad ones <5% five years