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病历摘要王××,女,30岁,家务。住院号 A02956。病人13年前于排尿后出现剧烈头疼,头晕,心悸,眼前发黑及一过性晕厥。半年前上述症状加重,每次排尿后均发作,持续6～8分后缓解。查体所见:神志清,营养欠佳。血压:排尿前110/70毫米汞柱,排尿后即刻240/190毫米汞柱,持续6～8分逐渐下降至正常。头颈部无异常所见,胸对称,心界稍大,心音纯、律正。肝脾不大。两肾触不清。下肢无浮肿。血、尿常规正常,血糖154毫克,血钾、钠、氯正常。磷酸组织胺激发试验阳性。后腹膜充气造影:双侧肾上腺及肾外形未见异常。膀胱造影:膀胱颈部偏左占位性病变。膀胱镜检查:膀胱颈部可
Medical records Wang × ×, female, 30 years old, housework. Hospital number A02956. Thirteen years ago, the patient developed a severe headache after drowsiness, dizziness, palpitation, black eyes and transient syncope. Six months ago, the above symptoms worsened after each urination attack, sustained 6 to 8 minutes after the remission. Physical findings: conscious, poor nutrition. Blood pressure: 110/70 mmHg before urination, 240/190 mmHg immediately after urination, gradually decreased to normal 6 to 8 minutes. No abnormalities seen in the head and neck, chest symmetry, slightly larger heart, heart sounds pure, law is positive. Small spleen and liver. Two renal touches. Lower extremity without edema. Normal blood, urine, blood sugar 154 mg, potassium, sodium, chlorine normal. Histamine phosphate test positive. Retroperitoneal inflation imaging: bilateral adrenal and kidney appearance no abnormalities. Bladder contrast: bladder left partial space occupying lesions. Cystoscopy: bladder neck can be