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患者女性,39岁,因发作性头昏、心悸及大汗一月余入院。当发作时血压高达196/110mmHg。临床体检无重要发现。初步印象为嗜铬细胞瘤。住院第三天进行B超检查,所见如下: 1.右肾及肾上腺正常。左侧腰部纵切:左肾形态正常。于左肾上极,脾与腹主动脉会合处见一个4×3.5公分的类圆形肿块。该块位于左肾上极内侧偏前方,居胰尾之后,腹主动脉的外侧,与膈肌左脚相对。肿块轮廓完整,包膜回声清晰,其内部呈低回声,回声均匀,有散在的点状中等回声光点。肿块随呼吸而上下移动。 2.背部纵切,沿左肾长轴扫查所见:于左肾上极内侧有一肿块,其大小与形态和侧腰部纵切所见相同。
The female patient, 39 years old, was hospitalized for more than a month for paroxysmal dizziness, palpitations, and sweat. When the onset of blood pressure up to 196/110mmHg. There are no important findings in clinical examination. The initial impression was pheochromocytoma. The B-ultrasound was performed on the third day of hospitalization. The findings were as follows: 1. The right kidney and adrenal gland were normal. Slit left side of the waist: normal left kidney. In the upper pole of the left kidney, a 4×3.5 cm round-like mass was seen at the junction of the spleen and the abdominal aorta. The block is located on the medial side of the upper pole of the left kidney, after the pancreatic tail, the outside of the abdominal aorta, and the left foot of the diaphragm. The lumps have a complete contour and the capsule echo is clear. The internal echo is hypoechoic and the echoes are even. There are scattered punctiform medium echo spots. The lump moves up and down with the breath. 2. Back slitting, scanning along the long axis of the left kidney: There is a lump on the medial side of the upper left kidney, which is the same size and shape as seen on the side of the waist.