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例1.患者24岁,住院号193235。1985年9月7日因妊娠合并高血压及心律不齐入院。患者孕1产0末次月经1985年2月J9日,预产期1985年11月26日。早孕时血压150~160/100mmHg,以降压药治疗。20孕周后经常出现发作性头痛、头晕、心悸,气短及盛汗,活动后加剧.血压曾达180/120mmHg。入院检查:P100次/分,Bp250/160mmHg,心肺正常,腹软。宫底位于脐上3横指处,臀位,胎心好。血尿化验正常。眼底动脉血管稍细。诊断:妊娠合并高血压病。入院后给予镇静降压治疗,效果不明显。血压波动在130~250/90~170mmHg 之间。血压骤升时伴有剧烈头痛,心悸,面色潮红,大汗淋漓,频发早搏等。降压药物对控制发作无效,疑患嗜铬细胞瘤。B 超检查提示右肾上腺有一9×8cm 之实性肿物。尿儿茶酚胺定性,两次阴性,一次弱阳性;24小时尿3—甲氧—4—羟基苦杏仁酸(VMA)定量72.7μmol(14.4mg)〔我院正常值为20~65μmol(4~13mg)〕,遂诊断为妊娠合并嗜铬细胞瘤。30孕周时改用酚苄明治疗,剂
Example 1 patient 24 years old, hospital number 193235. September 7, 1985 due to pregnancy with hypertension and arrhythmia admission. Patient pregnancy 1 production 0 last menstruation February 1985, J9, the expected date of November 26, 1985. Early pregnancy blood pressure 150 ~ 160 / 100mmHg, antihypertensive drug treatment. Frequent episodes of headache, dizziness, palpitations, shortness of breath and sweating after 20 gestational weeks intensified after activity, and blood pressure reached 180 / 120mmHg. Admission examination: P100 beats / min, Bp250 / 160mmHg, cardiopulmonary normal, abdominal soft. Uterus at the end of the palace is located on the 3 fingers, breech, fetal heart good. Hematuria test normal. Fundus arterioles slightly thinner. Diagnosis: pregnancy complicated with hypertension. After admission to give antihypertensive treatment, the effect is not obvious. Blood pressure fluctuations between 130 ~ 250/90 ~ 170mmHg. Sudden blood pressure accompanied by severe headache, palpitations, pale flush, sweating, frequent premature beats and so on. Antihypertensive drugs on the control of seizures invalid, suspected pheochromocytoma. B-ultrasound prompts the right adrenal has a 9 × 8cm of the real mass. Urinary catecholamines qualitative, twice negative, once weakly positive; 24-hour urine 3-methoxy-4-hydroxy mandelic acid (VMA) quantitative 72.7μmol (14.4mg) 〔normal hospital for 20 ~ 65μmol (4 ~ 13mg) 〕, Then diagnosed with pregnancy complicated with pheochromocytoma. 30 gestational weeks to use phenoxybenzamine treatment, agent