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病例摘要患者女,29岁,头痛、恶心、心悸、视力障碍、高血压)24/20kPa)2年余。因突然右上腹痛、出汗、札压下降,以急腹症剖腹探查,术中发现右腹膜后出血、血肿,术后原症状原样转入内科。体检:消瘦,体温36℃,脉搏80次/分,呼吸20次/分,血压20/17kPa,心肺无异常,腹部除手术疤外(-)。CT:右肾上腺肿瘤。尿路造影:右肾下移。B
Case summary Female patient, 29 years old, headache, nausea, heart palpitations, visual disturbances, hypertension (24/20kPa) 2 years. Due to a sudden right upper abdominal pain, sweating, and a decrease in barometric pressure, an exploratory abdominal laparotomy was performed. During the operation, right retroperitoneal hemorrhage and hematoma were found and the original symptoms were transferred to internal medicine. Physical examination: weight loss, body temperature 36 °C, pulse 80 beats / min, breathing 20 beats / min, blood pressure 20/17 kPa, no abnormalities of heart and lungs, abdomen except surgical incision (-). CT: right adrenal tumor. Urography: The right kidney moves down. B