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患者女性,38岁。因阵发性高血压3个月,于1987年7月6日入院。发作时面色苍白、心悸、出汗、头晕、视物不清,血压骤升升至22.7—24/14.7—16kPa,曾多次昏倒。发作间期血压16—18.7/10.7—12kPa。检查:血压18.7—12kPa,肾区按摩试验升高4—2.7kPa,儿茶酚胺定性(-),其他化验均在正常值范围。EKG 正常,CT:左肾上腺区约5.2cm×4.5cm 囊性肿物,初步诊断:左肾上腺嗜铬细胞瘤囊性变。术前按肾上腺嗜铬细胞瘤准备,手术在硬膜外麻醉下进行,见左肾下移,囊肿出自肾上腺,与肾上腺极轻度粘连。摘除囊肿约5.4 cm×5cm×4.7cm,包膜完整,灰黄色,表面光滑,囊壁较薄,囊内为
Female patient, 38 years old. Because of paroxysmal hypertension for 3 months, she was admitted to hospital on July 6, 1987. The attack was pale, palpitation, sweating, dizziness, unclear vision, and the blood pressure surged to 22.7-24/14.7-16kPa. He had collapsed several times. Interictal blood pressure 16-18.7/10.7-12kPa. Check: blood pressure 18.7-12kPa, kidney massage test increased 4-2.7kPa, catecholamine qualitative (-), other tests are within the normal range. Normal EKG, CT: cystic mass of about 5.2cm x 4.5cm in the left adrenal gland, initial diagnosis: cystic degeneration of left adrenal pheochromocytoma. Preoperative adrenal pheochromocytoma preparations were performed under epidural anesthesia. See left kidney down, cysts from the adrenal glands, and mild adrenal adhesions. The cyst removed was about 5.4 cm×5cm×4.7cm. The capsule was complete, grayish yellow, and the surface was smooth. The capsule wall was thin and the capsule was