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本文报道一例34岁白人妇女初因进行性行动失常未能控制而入院,进院时血压180/120mmHg,有儿茶酚胺释放症状,曾发现尿中变肾上腺索轻度增高,腹部计算机X线断层显示左肾区有一个3cm大小的肿块。因疑为嗜铬细胞瘤而转上级医院确诊。患者除长期肥胖和高血压外,有时视力模糊,易疲劳,多汗,乏力,心悸及胸闷。近13个月来月经不调。几年来,5小时的葡萄糖耐量试验显示她对碳水化合物不耐受。‘体检:患者过于肥胖,无痛苦表情,双颊潮红,面色红润,并有中心性肥胖的趋势。她面部多毛,上唇及下巴长了黑胡子,下背部中线附近亦长了黑毛,有过短暂的秃头,双肩胛骨中间可见脂肪堆积,但未形成真正的“牛背蜂”。皮肤有色素沉着。眼底镜下发现双侧视乳头水肿,视网膜有数处出血并可见动静脉
This article reports a case of a 34-year-old white woman who was admitted to hospital due to uncontrollable sexual activity abnormalities. She was admitted to hospital with a blood pressure of 180/120 mmHg and had symptoms of catecholamine release. She had noticed a mild increase in urinary adrenal glands and an abdomen computer X-ray showed left. The kidney area has a 3cm lumps. Suspected pheochromocytoma and transferred to a superior hospital for diagnosis. In addition to long-term obesity and hypertension, patients may have blurred vision, fatigue, sweating, fatigue, palpitations and chest tightness. Irregular menstruation in the past 13 months. For several years, the 5-hour glucose tolerance test showed she was not tolerant to carbohydrates. ‘Physical examination: The patient was overweight, with no painful expression, flushed cheeks, ruddy complexion, and a tendency to have central obesity. Her face was hairy, she had black beard on her upper lip and chin, black hair near the midline of her lower back, short-term baldness, and fat accumulation in the middle of the shoulder blades, but no real “back-bone.” The skin has pigmentation. Under the fundus microscope, bilateral papilledema was found. There were several hemorrhages in the retina and visible arteries and veins.