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患者女,20岁,以“发现血压高4年余”为主诉于2013年6月18日入院,无头晕、头痛,无恶心、呕吐,无黑曚、晕厥,无怕热多汗、体重进行性下降。既往史无特殊。入院查体:血压179/121mmHg(1mmHg=0.133kPa);腹部查体未及异常。术前检查主要异常指标有:血钾2.5↓↓mmol/L;卧位醛固酮1 212.1pg/ml;24小时尿K 107.01↑mmol/24h;24小时尿羟皮质类固醇16.20mg/24h;24小时尿酮皮质类固醇17.41↑mg/24h;肾素活性(卧位)0.71nmol/h;24小时尿香草扁桃酸7.56mg/24h。肾上腺CT平扫+增强+3D:左侧
The patient, 20 years old, mainly complained of “high blood pressure more than 4 years” found on June 18, 2013. No dizziness, headache, nausea, vomiting, blackheads, syncope, Weight decreased. No previous history. Admission examination: blood pressure 179 / 121mmHg (1mmHg = 0.133kPa); Abdominal examination and abnormal. The main abnormal indicators of preoperative examination were: serum potassium ↓ ↓ ↓ mmol / L; supine aldosterone 1 212.1pg / ml; 24-hour urine K 107.01 ↑ mmol / 24h; urinary hydroxycorticosteroid 24-hour 16.20mg / 24h; Corticosteroids 17.41 ↑ mg / 24h; renin activity (lying position) 0.71nmol / h; Urine vanillin 24 hours urine 7.56mg / 24h. Adrenal CT scan + enhancement + 3D: left