论文部分内容阅读
1 病例简介病例1女,37岁。头痛,多汗及阵发性晕厥1周,既往无高血压史。外院 B 超提示“肝右叶脓肿”。严观病情,于再次出现头痛时测 BP 26.7/17.3kPa,约2min,血压自行下降18/12kPa。体检:急性面容,t36.5℃,P 76次/min,R20次/mim,BP 18/12kPa,HR 76次/min,律齐,两肺正常,腹平软,未触及包块,肝脾未触及。化验:血常规、基础代谢、血糖均正常。B 超检查:于肝脏右后方、右肾上方可探及9.6cm×7.6cm 的无回声区,边界清晰,包膜完整,其内有弱回声,可随体位移动,为沉积物(图1);囊内壁见不规整的实性稍强回声,大小分别为2.3cm×1.7cm,2.0cm×1.0cm(图2)。该肿物与肝脏、右肾无关联,但右肾上极受挤压。B 超诊断:右肾上腺囊
1 Case Introduction Case 1 Female, 37 years old. Headache, hyperhidrosis and paroxysmal syncope for 1 week, no previous history of hypertension. Outside the hospital B super tips “right hepatic abscess.” The rigorous observation of the condition led to a measurement of BP 26.7/17.3 kPa when the headache recurred. About 2 minutes later, the blood pressure dropped by 18/12 kPa. Physical examination: acute face, t36.5 °C, P 76 beats/min, R20 beats/mim, BP 18/12kPa, HR 76 beats/min, law, both lungs normal, abdominal soft, untouched mass, liver and spleen Not touched. Laboratory tests: Blood routine, basal metabolism, and blood glucose are normal. B-ultrasonography: 9.6cm x 7.6cm anechoic area can be explored in the right posterior of the liver and above the right kidney. The boundary is clear and the capsule is complete. There is a weak echo in it and it can move with the body position. It is a sediment (Figure 1) The inner wall of the capsule showed irregular solid echoes with a size of 2.3 cm × 1.7 cm and 2.0 cm × 1.0 cm (Fig. 2). The tumor was not associated with the liver or right kidney, but the right kidney was extremely compressed. B-diagnosis: right adrenal sac