One month ago, Mr. Qian suddenly developed a right nasal bleeding and was immediately hospitalized in our hospital, and his blood pressure was found to be as high as 230/122 mmHg, which could “burst blood vessels” at any time and endanger his life! He was immediately transferred to ICU for intensive care treatment, and his blood pressure was brought under control only after the combination of high-dose intravenous antihypertensive drugs and as many as five subsequent antihypertensive drugs. Mr. Fang is a young man in his early 30s, but according to him, he discovered his high blood pressure more than 10 years ago. As a result of long-term hypertension is not effectively controlled, this hospitalization has been found to have impaired kidney function The problem is, we often hear that a certain aunt hypertension to take medication, a certain uncle and a few days ago burst a blood vessel, this young man in the end is how ah can not be mistaken, right? Look, don’t worry, and listen to me slowly: hypertension is a common chronic disease. According to the different causes, hypertension can be divided into 2 categories: primary hypertension and secondary hypertension. Primary hypertension is mostly related to family genetics, obesity, diet, exercise, smoking, occupation and other factors, and mostly occurs at the age of 40-50 years old; while secondary hypertension is more commonly caused by certain endocrine system diseases, such as adrenal tumors or hyperplasia, symptoms are mostly manifested as paroxysmal or refractory hypertension, syncope, muscle weakness, hypokalemia, centripetal obesity, etc., mostly found in the 20-30 years old. . In the movies we often see a plot: someone collapsed or even died from the excitement, which is actually the result of adrenaline “spike”! And the primary adrenal gland disease, even if you do not get excited or angry, blood pressure “spike” Oh Let’s go back to the case: young people, malignant hypertension secondary to rhinorrhea (fortunately not brain hemorrhage, otherwise even if you survive, you are likely to be disabled!) The CT examination suspected that Mr. Fang had a 12mm tumor in the left adrenal gland, while the right side was normal, which was an indication for surgery according to the urology guidelines. There are many types of adrenal tumors, among which pheochromocytoma is the most dangerous, and if the preoperative preparation is inadequate, the surgical mortality rate can be as high as 50%. Many hormones secreted by the adrenal glands can raise blood pressure. The hormone tests and biochemical results were not clear. For safety reasons, we prepared for the most dangerous pheochromocytoma and performed a standard laparoscopic surgery 2 weeks later. Adrenal gland diagram The surgical specimen After the operation, Mr. Fang’s blood pressure gradually normalized, and he was discharged from the hospital three days after stopping the antihypertensive drugs. Postoperative pathology report: adrenal cortical hyperplasia. Most patients can get control of hypertension or even no longer need to take medication through surgery, early detection and treatment will achieve better results. Laparoscopic treatment of suprarenal disease – minimally invasive, anatomically precise, less bleeding and faster recovery.