论文部分内容阅读
患者、68岁。因右上腹肿块7天,于1989年8月15日入院。检查:一般情况差,心肺无异常发现;腹软,右上腹可扪及一肿块约20cm×15cm,边界清楚,表面光滑,质地稍硬,无压痛,脾脏肋下未触及。常规及肝肾功能检查均无异常;B超提示肝脏占位性病变。行剖腹探查术,肝脾未见异常,切开右侧后腹膜,见右肾脏被挤压萎缩、位于右下腹。右肾上腺呈实质性椭圆形肿块约20cm×14cm×14cm大小,包膜完整。手术摘除,重2500g。术后患者自
The patient is 68 years old. The patient was admitted to hospital on August 15, 1989 due to a 7-day mass in the right upper quadrant. Inspection: General condition is poor, no abnormalities found in heart and lung; abdominal soft, right upper abdomen can be accompanied by a mass of about 20cm × 15cm, clear boundary, smooth surface, slightly hard texture, no tenderness, the spleen is not touched by the ribs. Routine and liver and kidney function tests were not abnormal; B ultrasound prompted liver space-occupying lesions. A laparotomy was performed. No abnormalities were found in the liver and spleen. The right posterior peritoneum was incised. The right kidney was squeezed and atrophied and located in the right lower quadrant. The right adrenal gland was a substantial oval mass about 20cm x 14cm x 14cm in size, and the capsule was intact. Removed by surgery and weighed 2500g. Patients after surgery