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患者女,64岁。反复头晕、胀痛5年余,发作1d入院。有高血压病史近5年,最高达210/110 mmHg(1 mm Hg=0.133 kPa);查体:体温36.6℃,血压140/90 mm Hg,心界不大,心率70次/min,律齐;腹平软。随机血糖14.4 mmol/L。临床诊断:高血压Ⅲ期,2型糖尿病。使用东芝SSA-660A型彩色多普勒超声诊断仪作常规腹部检查:脾脏厚度35mm,上下端间径112 mm,脾静脉内径7 mm,形态正常,包膜完整,内部回声均匀。脾门与左肾之间见
Female patient, 64 years old. Repeated dizziness, pain more than 5 years, attack 1d admission. Hypertensive history of the past 5 years, up to 210/110 mmHg (1 mm Hg = 0.133 kPa); physical examination: body temperature 36.6 ℃, blood pressure 140/90 mm Hg, heart is not big, heart rate 70 beats / min, The abdomen is soft. Random blood sugar 14.4 mmol / L. Clinical diagnosis: hypertension Ⅲ, type 2 diabetes. TOSHIBA SSA-660A color Doppler ultrasound diagnostic apparatus for routine abdominal examination: spleen thickness 35mm, 112mm between the upper and lower ends, splenic vein diameter 7mm, normal morphology, complete capsule, the internal echo uniform. See between the spleen door and the left kidney