The 14 -year -old girl's blood pressure reached 200mmHg, which turned out to be a pyromicocytoma.

Author:Changjiang Daily Time:2022.09.13

The Yangtze River Daily Da Wuhan Client September 13 (Reporter Qi Yan Correspondent Liu Shanshan) The 14 -year -old girl accidentally measured her blood pressure as high as 200mmHg. Her mother took her to the hospital for further examination, and dug out dangerous chromium -only cell tumors. Recently, the expert team of the urology department of Wuhan Central Hospital completely removed the tumor through laparoscopic minimally invasive surgery to keep the kidneys for girls.

In the past year, the 14 -year -old Yuanyuan (pseudonym) often sweat inexplicably, and occasionally feel dizzy and headache. He fainted twice during school. At the same time, her physical strength is not as good as before. She originally loved her, and now running in physical education is obviously uncomfortable. At first, parents thought that their children were deficient, and they didn't care too much about going to school. They didn't care too much.

Until last week, the round mother Ms. Zhang suffered from chronic renal failure and measured her blood pressure at home. She was tested on her wrist because of curiosity. Essence Ms. Zhang thought that she did not pay attention to high blood pressure, and finally dragged into chronic renal failure. She saw her daughter's blood pressure so high, and she suddenly raised her heart. She hurriedly helped her daughter repeatedly measured several times. Take her to Wuhan Central Hospital for treatment.

Urology experts at Wuhan Central Hospital are in the inspection. Correspondent Liu Shanshan Photo

After further examination, CT discovered that the rounded adrenal area of ​​the circular gland had a small apricot mass in the adrenal area, which was contacted by the urology surgery. Considering that it was likely to cause the culprit of malignant hypertension. Urology is further diagnosed.

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 the age of the patient, Guo Yonglian, the director of the urology department, and the team decided to do their best to protect the kidney and keep the kidney. On the one hand, a full preparation of capacity expansion was made. Plan.

The entire surgery process is step by step, tense and orderly, and the relationship between the large blood vessels 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 minimally innovation The method was successfully removed from the tumor to keep the kidneys, and her blood pressure gradually returned to normal after surgery.

Guo Yonglian introduced that cytoma is one of the common causes of secondary hypertension. The tumor can secrete a large amount of catecholine hormone. 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 changes in life rhythm and eating habits, patients with hypertension are younger, but it is worth noting that some of them are secondary hypertension caused by pheochial cell tumors. Diverse, it is easy to be ignored by everyone. "Director Guo reminded that once symptoms such as paroxysmal hypertension, headache, dizziness, palpitations, sweating, decreased exercise ability, etc., they should be highly vigilant. Young people who are healthy in the past should seek medical treatment and scientific diagnosis and treatment in time to avoid delaying the child's condition.

[Edit: Yu Lina]

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