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患儿:女,13.5岁。因消瘦、多汗2年,伴便秘半年,咳嗽、心悸、气促4个多月于1994年9月20日入院。曾在外院检查发现高血压、左心衰、Rigitine 试验(+)、B 超及 CT 检查示右盆腔包块。有排尿后头晕,无血尿、尿频、尿痛。体检:BP 22.0/17.0～14.5/11.0 kPa,HR 120次/分,律整,心尖区Ⅱ/Ⅵ级柔和 SM。肛检:直肠前方5 cm×5 cm 圆形实质性肿物,边缘清,光滑,与直肠壁无粘连,但与右盆壁粘连。实验室检查:连续3天24小时尿 VMA
Children: Female, 13.5 years old. Due to weight loss, sweating 2 years, with constipation six months, cough, heart palpitations, shortness of breath more than 4 months in September 20, 1994 admission. Hypertension, left heart failure, Rigitine’s test (+), B-ultrasound and CT examination showed right pelvic mass in the hospital. Dizziness after urination, no hematuria, frequent urination, dysuria. Physical examination: BP 22.0 / 17.0 ~ 14.5 / 11.0 kPa, HR 120 beats / min, law rectification, apical area Ⅱ / Ⅵ soft SM. Anal examination: anterior rectum 5 cm × 5 cm round substantive tumor, the edge of clear, smooth, no adhesions with the rectal wall, but with the right pelvic wall adhesions. Laboratory tests: urine VMA 24 hours a day for 3 consecutive days