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患者女,47岁,因左上腹痛4天入院。入院时患者无发热、黄疸、恶心呕吐、腰痛、黑便等症状。查体:T36.4℃,P74次/min,R17次/min,BP160/115mmHg。心肺听诊未见异常,腹平软;左上腹胰腺体尾投影区压痛。血白细胞10.8×10~9/L,Hg106g/L,PLT253×10~9/L,血淀粉酶值41.2U/L,尿淀粉酶值426U/L,肝胆胰脾B超未见异常。拟诊为急性胰腺炎,经禁食抑制胰液分泌,控制感染,治疗10天后,病情稳定。行腹部CT扫描示左肾上极及肾周脂肪囊内等密度占位,与左肾界限不清,肾周筋膜明显增厚,肾周脂肪囊密度增高,遂以肾上腺占位行手术治疗。术中见左肾筋膜有陈旧性痂血机化,左
Female patient, 47 years old, admitted to hospital for 4 days due to left upper quadrant pain. Patients admitted to hospital without fever, jaundice, nausea, vomiting, back pain, melena and other symptoms. Examination: T36.4 ℃, P74 times / min, R17 times / min, BP160 / 115mmHg. Cardiopulmonary auscultation no abnormalities, abdominal soft; left upper quadrant pancreatic body projection area tenderness. Blood leukocytes 10.8 × 10 ~ 9 / L, Hg106g / L, PLT253 × 10 ~ 9 / L, blood amylase value 41.2U / L, urine amylase value 426U / L, liver and gallbladder pancreatic spleen B-no abnormalities. To be diagnosed as acute pancreatitis, inhibition of pancreatic secretion by fasting, control of infection, 10 days after treatment, stable condition. CT scan of the abdomen showed the left upper kidney and perirenal fat capsule within the density of space-occupying, unclear boundaries with the left kidney, perineal fascia was thickening, perirenal fat capsule density increased, then adrenal gland surgery . See the left renal fascia surgery have old blood clot, left