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患者,男性,51岁,1970年即出现右肾区不适,1975年开始逐年加重,两年前首次出现肉眼血尿及膀胱刺激征,腰痛以酸胀为著,曾因尿潴留插管导尿受阻失败,抗炎治疗症状有所缓解,1992年2月以肉跟血尿、膀胱刺激征、右弩区剧痛等症状抗炎治疗无效待查入院。查体腹壁紧张,全腹压痛,肝、脾触及增大,右肾区叩击痛,血压10.6/17.3kPa。B超示肝、脾增大,左肾增大,右肾缩小,右肾上极探得2cm×2cm囊状实质玻裂坏空洞,诊断:右肾结核;考虑慢性肝炎。尿液检查:pH5.5,蛋白质+,隐血++,尿胆原
Patients, men, 51 years old, appeared in 1970, the right kidney area discomfort, began to increase year by year year after year, two years ago, the first occurrence of gross hematuria and bladder irritation, low back pain with soreness, had urinary retention intubation catheterization blocked Failure, anti-inflammatory treatment symptoms eased, February 1992 to meat with hematuria, bladder irritation, right crossbow pain and other symptoms of anti-inflammatory treatment ineffective pending admission. Physical examination of the abdominal wall tension, the whole abdominal tenderness, liver, spleen touch increased, right renal percussion pain, blood pressure 10.6 / 17.3kPa. B ultrasound showed liver and spleen increased, left kidney increased, right kidney narrowed, the right kidney probe 2cm × 2cm cystic parenchyma bad hole, diagnosis: right kidney tuberculosis; consider chronic hepatitis. Urine examination: pH5.5, protein +, occult blood ++, urobilinogen