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患者,男,65岁。主诉:左腰部胂块30余年无肿、无痛、无明显变化。查体:T36.8℃,P 82次/分,R 18次/分,BP 16/11kPa。神态清,一般情况好。心肺及腹部无异常。左侧腰背部肾区可见一12×15cm~2局部稍隆起的肿物。触之有轻微不适,表面光滑,质地偏软,边界欠清,活动差,无搏动感,无血管杂音。拟诊“左腰背部脂肪瘤”,在1％利多卡因局麻下行“肿块切除术”。
Patient, male, 65 years old. Chief Complaint: left waist arsenic block more than 30 years without swelling, no pain, no significant change. Physical examination: T36.8 ℃, P 82 beats / min, R 18 beats / min, BP 16 / 11kPa. Demeanor, the general situation is good. No abnormal heart and lungs and abdomen. Left lower back kidney area can be seen a 12 × 15cm ~ 2 local slightly elevated tumor. Touching a slight discomfort, the surface is smooth, soft texture, the border is not clear, poor activity, no pulse, no vascular noise. The proposed diagnosis of “left lower back lipoma”, in 1% lidocaine local anesthesia underwent “tumor resection.”