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男性,50岁。主诉阵发性头痛,头晕,高血压7年。1982年9月7日入院。有时伴胸闷。1982年7月22日发作时大汗淋漓,当时在某医院检查血压为300/140。体检:心脏未闻及杂音。实验室检查:24小时尿VMA为63.5毫克(约为正常人10倍)。磷苯二酚胺测量643μg。入院后曾给予苯苄胺治疗,高血压发作得到控制,血压曾降至100/60。读片讨论:9月18日行骶前腹膜后注气合并静脉肾盂造影断层摄影(见图)示相当于左肾
Male, 50 years old. Chief complaints of paroxysmal headache, dizziness, high blood pressure for 7 years. Admitted to hospital on September 7, 1982. Sometimes with chest tightness. On July 22, 1982, when the episode took place, the sweating occurred. At that time, the blood pressure in a hospital was 300/140. Physical examination: The heart does not smell and noise. Laboratory examination: 24 hours of urinary VMA was 63.5 mg (approximately 10 times normal). Phosphoramine measured 643 μg. She was given benzylamine treatment after admission, and the onset of hypertension was controlled and her blood pressure had dropped to 100/60. Reading Discussion: Sept. 18 Pre-peritoneal peritoneal insufflation with intravenous pyelography angiography (see figure) shows equivalent to left kidney