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患者,女,49岁.左上腹疼痛伴不规则发热于1993年10月4日入院.入院前1年左上只疼痛反复发作,未治而愈.近20天左上腹疼痛加重,并自扪及包块,无头晕眼花.入院体检:体温、脉搏、心率均正常.血压16/12kPa.巩膜无黄染.左上腹明显隆起,肋缘下可及6cm X6cm大小质硬肿块,上、下界不清,活动度差,表面光滑,有压痛,深压肿块时病人感不适,肝未及.实验室有关检查正常.B超提示:左上腹实质性包块,左肾上腺占位病变之可能.IVU示左肾上极轮廓不清受在下移.肾图正常.尿糖阴性,冷试验阴性.CT示脾轮廓不清,上极可见20cm X18cmX18cm大小肿块,包膜完整,呈多房液性暗区,
Patient, female, 49 years old. Left upper quadrant pain associated with irregular fever was admitted to hospital on October 4, 1993. One year before admission, only pain recurred on the upper left and left untreated and cured. In the past 20 days, the pain in the left upper quadrant aggravated. Mass, no dizziness. Admission examination: body temperature, pulse, heart rate were normal. Blood pressure 16/12kPa. Scleral no yellow dye. Elevated left upper abdomen, subcostal can reach 6cm X6cm size hard mass, upper and lower border unclear , Poor mobility, smooth surface, tenderness, patient discomfort during deep masses, liver failure, normal laboratory examinations. B-mode ultrasound: solid mass in left upper quadrant, possibility of left adrenal mass lesions. IVU indication Left upper kidney contour is unclear under the shift. Kidney diagram is normal. Urine glucose is negative, cold test is negative. CT shows the spleen is unclear, the upper pole visible 20cm X18cmX18cm size lump, capsule complete, showing multiple room liquid dark area,