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病历摘要患者(住院号140600),女,13岁。反复发作性头晕头痛、心悸胸闷4个月,跑步时曾昏厥过一次.近月来视物模糊,视力进行性减退,于1982年6月14日入院。体检:血压150/114,脉搏92次,皮肤苍白,四肢湿冷、多汗,上肢可见紫色细丝状血管纹理。眼睑浮肿。眼底检查:动脉硬化,网膜有絮状物渗出和条状出血斑。登楼或按压左上腹可致血压升高(200~240/140~170)和心率加快(130次),静脉滴注苄胺唑啉或口服苯苄胺后缓解。空腹胁糖115mg%。24小时尿 VMA25.5mg。诊断:“嗜铬细胞
Medical record summary patient (hospital number 140600), female, 13 years old. Repeated episodes of dizziness, headache, palpitations and chest tightness for 4 months. He had fainted once during running. In recent months, his vision was blurred and his vision deteriorated. He was admitted to hospital on June 14, 1982. Physical examination: blood pressure 150/114, pulse 92, pale skin, clammy extremities, hyperhidrosis, and purple filamentous veins on the upper extremities. Eyelid edema. Fundus examination: arteriosclerosis, omental exudation and stripe hemorrhage. Going upstairs or pressing on the left upper abdomen can cause an increase in blood pressure (200-240/140-170) and an increase in heart rate (130 times), and is relieved by intravenous infusion of benzylaminazoline or oral benzylamine. Fasting blood sugar 115mg%. 24-hour urine VMA25.5mg. Diagnosis: "Chromosomal cells