论文部分内容阅读
患儿,男,12岁。因阵发性头痛5年、心悸半年,于1989年11月11日入院。头痛发作时,面色苍白、四肢冰冷、出汗、伴恶心呕吐。体检:血压210/150mmHg(28/20Kpa),心率140次/分,左下肺呼吸音减弱。双侧肾上腺及肾脏CT扫描未见异常。心电图:窦性心动过速。胸部X线片:左后下胸腔见7.5×6cm圆形阴影,周边光滑。(见附图1、2)B超:降主动脉左前方见7×6cm实质性肿块。实验室检查:尿儿苯酚胺阳性,VMA定量177-
Children, male, 12 years old. Because of paroxysmal headache for 5 years and palpitation for half a year, she was admitted to hospital on November 11, 1989. During a headache attack, his face was pale, his limbs were cold, sweating, and nausea and vomiting. Physical examination: Blood pressure 210/150mmHg (28/20Kpa), heart rate 140 beats/min, and lower left lung breath sounds weakened. No abnormalities were seen on CT scans of the bilateral adrenal glands and kidneys. Electrocardiogram: sinus tachycardia. Chest X-ray: Left thoracic cavity, see 7.5 × 6cm round shadow, peripheral smooth. (See Figures 1 and 2) B Ultrasound: A 7×6 cm solid mass was seen in the left anterior descending aorta. Laboratory examination: Urinary phenolamine positive, VMA quantitative 177-