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患者35岁男性,其家族无肾脏病史。27岁时罹患急性肾小球肾炎。2年后作血液透析,每周2～3次,每次6h。病后第6年接受尸体肾移植手术。移植后13个月因慢性排异反应而作血液透析,并摘除移植肾。发病后第7年,在透析后突然右肾区剧烈疼痛,同时连续数日血尿。此时血压和红细胞压积尚正常.肾切层照片可见右肾区有一豆大的钙化点。超声波检查见多个大小不一的囊肿。剩余的肾实质异常致密。4周后,于常规透析第3天重新出现非常剧烈的肾区疼痛伴肉眼血尿。CT 检查右肾发现与超声波检查相应的大小不等、密度低的中心囊肿区。因疑为肾囊肿
35-year-old male whose family has no history of kidney disease. 27 years old suffering from acute glomerulonephritis. 2 years after hemodialysis, 2 to 3 times a week, each 6h. The 6th year after the disease was subjected to a cadaveric kidney transplant. Thirteen months after transplantation due to chronic rejection hemodialysis, and removal of kidney transplant. After the onset of the first 7 years, suddenly after the dialysis severe pain in the right kidney area, while a few days of hematuria. At this point the blood pressure and hematocrit is still normal.Nephrectomy photo shows a big kidney calcification of the kidney area. Ultrasound examination showed multiple cysts of different sizes. The remaining kidney parenchyma abnormal dense. After 4 weeks, very severe kidney pain with gross hematuria reappeared on the third day of routine dialysis. CT examination of the right kidney and ultrasound findings corresponding to the size range, low density of the central cyst area. Due to suspicion of renal cysts