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患者,女性,32岁,农民。住院号68301。因一月前做绝育术妇科检查发现下腹部肿块,疑盆腔肿瘤而于1984年3日23日入院。既往史:有高血压史6~7年,平素血压波动于100~280/70—150,服降压药效果不佳,偶尔在排小便时有头晕、头痛、两眼视物模糊。无血尿史等。体检:一般情况良好,未扪及包块。实验室检查:EKG示窦性心律不齐,偶发房早。膀胱镜:见膀胱左前壁一鸡蛋大小肿物,表面高低不平,潮红色,颈部有滤泡样组织增生。其他正常。临床诊断:膀胱肿瘤。于1984年4月11日在硬膜外麻醉下行肿瘤切除术。术前血压170/100。手术探查中见膀胱外侧壁有7×3×4厘米大小椭园形肿物,边缘清楚;分离挤压肿瘤
Patient, female, 32 years old, farmer. Hospital number 68301. He was admitted to the hospital on the 3rd day of the 1984 on gynecological examination of a neonatal gynaecology performed one month earlier. Past history: History of hypertension 6 to 7 years, normal blood pressure fluctuations in the 100 ~ 280/70-150, poor efficacy of antihypertensive drugs, occasionally in the row of urine dizziness, headache, blurred vision in both eyes. No history of hematuria. Physical examination: The general condition is good, and there is no palpable mass. Laboratory tests: EKG showed sinus arrhythmia, occasional early room. Cystoscopy: See the left front wall of the bladder an egg size tumor, the surface is uneven, red tide, follicular-like tissue hyperplasia in the neck. Other normal. Clinical diagnosis: bladder tumors. On April 11, 1984, epidural anesthesia underwent tumor resection. Preoperative blood pressure 170/100. In the surgical exploration, there was a 7×3×4 cm oval-shaped mass on the lateral wall of the bladder with clear edges;