【摘要】 目的：探讨肾上腺嗜铬细胞瘤并血皮质醇升高的临床特点和诊治方法。方法：回顾分析3例肾上腺嗜铬细胞瘤并并血皮质醇升高病例资料。结果：3例均有高血压、高血糖。尿VAM轻微升高，而血浆肾素、血管紧张素活性均正常。经B超、CT均诊断为肾上腺肿瘤，行患侧肾上腺切除术，术后血糖恢复正常，高血压消失或明显缓解。病理诊断为嗜铬细胞瘤。结论：肾上腺嗜铬细胞瘤并发皮质醇症均有不同程度的皮质醇症表现，部分病例同时有儿茶酚胺症的特点，综合分析临床资料可能在术前作出诊断，围手术期应按儿茶酚胺症处理，确诊需病理检查。

    【关键词】 肾上腺疾病； 血皮质醇； 嗜铬细胞瘤

    中图分类号 R586 文献标识码 B 文章编号 1674-6805(2016)5-0163-02

    【Abstract】 Objective：To study the clinical features，diagnostic and treatment of pheochromocytoma with high serum cortisol as manifestation.Method：The clinical data of three cases were retrospectively analyzed.Result：All the 3 cases had hypertension and hyperglycemia.The serum cortisol were high.But the plasma renin and angiotensin Ⅱ activity were normal and urinary catecholamine and its metabolites were lightly increased.The adrenal tumor were revealed on ultrasonography ......