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患者,男,62岁,因右侧腰背部持续性绞痛伴阵发性加重与肉眼血尿2d入院。痛时口服颠茄片可缓解。既往12年前曾行左侧肾癌切除术,近期未进行化疗。查体:T37℃,右侧肾区叩痛,输尿管走行区无压痛,阴茎无压痛,尿道外口无异常分泌物。实验室检查:WBC7.1×10~9/L,N0.87,Hb111g/L;尿蛋白(+),RBC();B超提示右肾结石。入院次日血尿消失,一般情况好,肾功正常,尿培养阴性。住院第9天患者开始无尿达30h,诉右肾区胀痛,
The patient, male, aged 62, was admitted for 2 days with persistent colic of the right lower back accompanied with exacerbations and gross hematuria. Oral belladonna tablets can relieve pain. The past 12 years ago had left renal cell resection, no chemotherapy recently. Physical examination: T37 ℃, the right kidney area percussion pain, ureteral walking area without tenderness, penile tenderness, no abnormal secretion of urethral orifice. Laboratory tests: WBC7.1 × 10 ~ 9 / L, N0.87, Hb111g / L; urinary protein (+), RBC (); B ultrasound prompts the right kidney stones. Hematuria disappeared the day after admission, the general situation is good, normal renal function, urine culture negative. On the 9th day of hospitalization, the patient started to have no urine for 30 hours, complaining of pain in the right kidney area,