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患者男性.65岁.发现左上腹肿块4天入院.体检:P80次/分,血压17.3/10.7kPa,心肺无殊,左上腹及一肿块约5×4cm,边界清,光滑,质中等,无压痛,左右能推动,但上下不能推动.B超提示腹主动脉左旁实质性肿块,包膜完整,有局灶液化.与胰腺边界不清.一周后剖腹探查,见肿瘤位于后腹膜腹主动脉左侧,部分压迫腹主动脉,肿瘤上界平第一腰椎水平,大小约为7×6×4cm.有完整包膜.边界清.面表光滑,呈粉红色,血管丰富.术中患者血压骤升达28/24kPa
Male patient: 65 years old. Left upper abdominal mass was found in 4 days. Physical examination: P80 beats / min, blood pressure 17.3/10.7kPa, cardiopulmonary no special, left upper abdomen and a lump about 5 × 4cm, border clear, smooth, medium quality, no Tenderness, left and right can promote, but can not be promoted up and down. B ultrasound prompted a solid mass in the left side of the abdominal aorta, complete capsule, with focal liquefaction. Unclear border with the pancreas. A week later exploratory laparotomy, see the tumor located in the posterior abdominal abdominal main The left side of the artery, part of the oppression of the abdominal aorta, the level of the first lumbar spine on the border of the tumor is about 7 × 6 × 4 cm. There is a complete envelope, border clear, smooth surface, pink, rich blood vessels. Intraoperative patients Blood pressure surges up to 28/24 kPa