14 -year -old girl self -test of blood pressure is high.

(Correspondent Liu Shanshan) The 14 -year -old girl accidentally measured her mother's blood pressure meter up to 200mmHg with her mother's blood pressure meter. She went to the hospital for further inspection and found that her young blood pressure was so high, and the culprit was a very dangerous pheochroma. Recently, a team of urology experts completely removed the tumor through laparoscopic minimally invasive surgery and helped her keep her kidney.

The 14 -year -old Yuanyuan (pseudonym) is a junior high school student. In the past year, she often sweats inexplicably, and occasionally feel dizzy and headache. She fainted twice when she was in school. , Running in physical education is always unable to keep up. At first, parents thought that their children were just physically weak, and they didn't care too much about going to school. They didn't care too much. Last week, when Yuanyuan's mother Ms. Zhang measured her blood pressure herself, Yuanyuan was tested on her wrist because of curiosity, and the results showed that the blood pressure was as high as 200/140mmHg. Ms. Zhang thought that she did not pay attention to high blood pressure, and finally dragged into chronic renal failure. When she saw her daughter's blood pressure so high, she was very panicked, and then helped her daughter repeatedly test it several times. Hospital for treatment. After the doctor asked the medical history and symptoms in detail, let it check it further, and then found that her right adrenal area had a 3cm × 4cm mass through CT. After contacting the urology surgery consultation, considering that this mass is likely to be the culprit that causes malignant hypertension. The possibility of celloma is more likely, and then transferred to the urology department for further diagnosis and treatment.

Because the tumor is located near the renal gate, it is wrapped around the renal artery, kidney vein, and the arteries through the tumor. The difficulty and risk of surgery are very high. A little careless during surgery may lead to major bleeding, and the kidney may not be able to keep it. In addition, the operating pliers tumor during the operation will stimulate it to release a large amount of adrenaline, leading to a sharp rise in blood pressure; when the tumor is removed, the hormone secreted by the tumor will reduce the blood vessels, and the blood pressure will decrease sharply. If the control is not good, the control is not good. , Seriously life -threatening. Therefore, making sufficient preoperative preparation is the key to successful surgery. Considering that the patient is still so young, after carefully analyzing and studying the condition with the team director Guo Yonglian, he decided to do his best to protect the kidney and tumor. On the one hand, he was fully prepared before surgery. When the situation appeared, the response plan was done in advance.

The entire surgery process is step by step, tense and orderly, and the relationship between the large blood vessels and tumors in the kidney area is closer than expected. Fortunately, after careful and careful operation, under the close cooperation of the anesthesiology department, urology experts finally pass through laparoscopic minimally invasive minimally invasive insights The method was successfully removed from the tumor, and the kidney was kept for the little girl.

Guo Yonglian, director of the urology department of the hospital, introduced that cellomaocytoma is one of the common causes of secondary hypertension. The tumor can secrete a large number of catecholine hormones. Once the blood is released, the blood pressure will increase suddenly. The most typical manifestation is vicious hypertension. In addition to the high blood pressure itself, blood pressure may rise sharply, like a "roller coaster". Over time, it will also endanger multiple systems such as cardiac, brain, kidney and kidney.

With the change of life rhythm and eating habits, patients with hypertension have a younger trend, but it is worth noting that some of them are secondary hypertension caused by pheochromyoma. It is easy to be ignored by everyone. Experts remind that once symptoms such as paroxysmal hypertension, headache, dizziness, palpitations, sweating, decreased exercise ability, etc., they should be highly alert to the possibility of adrenal celloma, especially young people who are healthy in the past. Scientific diagnosis and treatment, parents need to let themselves take the child's condition for granted experience.

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