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患者,女,3个月。患婴出世后半月,其母无意中发现左腹部有一鸭蛋大肿块,未予重视。近2月来,因肿块逐渐增大而就诊。体检:神经疲乏,营养差,体质衰弱,中度贫血貌。左腹部触及一新生儿头大小肿块,质硬、固定、不光滑。B超于左腹部探及一17.5cm×13cm×12cm异常回声区,包膜完整,未显示左肾结构,提示“左肾肿瘤”。实验室检查:尿常规:蛋白(++),白细胞(+),红细胞(++)。血清:Na~+130
Patient, female, 3 months. Baby after birth half a month, his mother accidentally found a large duodenal abdomen mass, did not pay attention. Nearly two months, due to the gradual increase of mass and treatment. Physical examination: nerve fatigue, poor nutrition, physical weakness, moderate anemia appearance. Left abdomen touched a newborn head size mass, hard, fixed, not smooth. B exceeded the left abdomen exploration and a 17.5cm × 13cm × 12cm abnormal echo area, complete capsule, left renal structure is not displayed, suggesting that “left kidney tumor.” Laboratory tests: Urine: protein (++), white blood cells (+), red blood cells (++). Serum: Na ~ + 130