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女性,45岁,因上腹部间歇性疼痛向腰背部放射一年,B型超声波检查发现左肾上前方有一液性暗区,以腹块待查入院。过去无明确的高血压史。检查血压110/70,心率68次,规则,无杂音。左上腹隐约可扪及2×2cm的肿块。空腹血糖83mg/dl。心电图示有轻度心肌损害。拟诊胰腺囊肿行手术探查。术中发现左肾上方有一约10cm直径的囊性肿块。部分呈实质性。穿刺出先为褐色液后为鲜血约200ml。
The female, 45 years old, had been irradiating her lower back for one year due to intermittent pain in the upper abdomen. A B-mode ultrasound examination revealed a liquid dark area in front of the left kidney, which was to be examined and admitted to the hospital. There is no clear history of hypertension in the past. Check blood pressure 110/70, heart rate 68 times, regular, no noise. The left upper abdomen is vaguely lumpy and 2 x 2 cm in size. Fasting blood glucose 83mg/dl. The ECG shows mild myocardial damage. To diagnose pancreatic cysts for surgical exploration. A cystic mass with a diameter of about 10 cm above the left kidney was found during the operation. Part is substantial. After piercing the first brown liquid, about 200 ml of blood was punctured.