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例1 女,43岁,因反覆头晕、乏力、纳差5年于1988年7月入院。体检:全身皮肤、粘膜均匀性色素沉着,尤以面部、齿龈、舌和腋窝处明显。心、肺、腹部无特殊。实验室检查:血钠138mmol/L、血钾3.9mmol/L。OGTT曲线低平。血皮质醇:8a.m.48nmol/L,4p.m.91nmol/L。胸、腹部X线片无特殊,静脉肾盂造影正常。B型超声波(B超)探查肾上腺:双侧肾上腺肿块。CT报告:双侧肾上腺皮质肿瘤。
Example 1 Female, 43 years old, was admitted to hospital in July 1988 due to repeated dizziness, fatigue, and anorexia for 5 years. Physical examination: The body has uniform skin and mucous membrane pigmentation, especially on the face, gums, tongue and armpits. Heart, lungs and abdomen are not special. Laboratory tests: serum sodium 138mmol/L, serum potassium 3.9mmol/L. The OGTT curve is flat. Blood cortisol: 8 a.m. 48 nmol/L, 4 p.m. 91 nmol/L. Chest and abdomen X-ray films are not special. Intravenous pyelograms are normal. Ultrasound B (Ultrasonography) Probe Adrenal: Bilateral Adrenal Mass. CT report: bilateral adrenal cortical tumors.