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患者,男,42岁,住院号177014,因高血压10年,持续蛋白尿4年于1983年9月15日入院。患者于1973年起血压波动在140~170/90~110mmHg,尿常规检查正常,服降压药有效。1979年尿常规检查蛋白+~++++,红细胞6~50个/HPF,颗粒管型1~3个/HPF。无水肿,肾功能正常;放射性核素肾图示右肾无功能,左肾排泄稍缓慢;静脉尿路造影示右肾不显影,右输尿管远端扩张;右肾动脉造影示肾动脉缺失和侧枝循环形成。1980年B型超声波检查示右肾外形不规则,多囊性改变,左肾增大,
Patient, male, 42 years old, hospital number 177014, hospitalized for hypertension for 10 years and persistent proteinuria for 4 years on September 15, 1983. Patients since 1973, blood pressure fluctuations in the 140 ~ 170/90 ~ 110mmHg, urine routine examination, antihypertensive drugs effective. In 1979 urine routine examination of protein + ~ ++++, red blood cells 6 ~ 50 / HPF, granular tube 1 ~ 3 / HPF. No edema, normal renal function; radionuclide kidney showed no function of the right kidney, left renal excretion slightly slow; intravenous urography showed right kidney does not develop, the right distal ureteral dilatation; renal artery angiography shows the absence of renal artery and collateral circulation form. 1980 B-mode ultrasound showed irregular shape of the right kidney, polycystic change, increased left kidney,