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间叶瘤与发育不良有关。是否为真性肿瘤尚难确定。因间叶瘤也常以无痛性全程血尿为主要症状,故术前与膀胱癌难以鉴别,只有术后病理才能确定诊断。良性者好发于儿童或青年。恶性者可发生于任何年龄。一般为单发。多发极为少见。我科收治1例,报告如下; 患者女,42岁。于1984年4月6日,突然出现无痛性全程血尿,无尿频,尿急,尿痛,无畏寒、发热,无外伤及膀胱结石史。经对症治疗无效,于1984年4月9日入院。查体;心、肺、肝,脾未见异常。膀胱区有压痛,无反跳痛。 实验室检查,血红蛋白7.4g,红细胞245万,白细胞4,600。尿常规,红细胞满视野。总蛋白5g,白蛋白3.4g,球蛋白1.6g。尿素氮17mg％。
Mesothelioma and dysplasia. Whether the true tumor is difficult to determine. Because of mesenchymal tumor is often painless hematuria as the main symptom, it is difficult to identify preoperative and bladder cancer, and only postoperative pathology can determine the diagnosis. Good people occur in children or young people. Vicious persons can occur at any age. Generally single hair. Multiple hair is extremely rare. I treated 1 cases, the report is as follows; Female patient, 42 years old. April 6, 1984, a sudden painless hematuria, no urinary frequency, urgency, dysuria, no chills, fever, no history of injury and bladder stones. After symptomatic treatment invalid, was admitted to hospital on April 9, 1984. Physical examination; heart, lung, liver, spleen no abnormalities. Bladder area tenderness, no rebound pain. Laboratory tests, hemoglobin 7.4g, 2.45 million red blood cells, white blood cells 4,600. Urine routine, full of red blood cells. Total protein 5g, albumin 3.4g, globulin 1.6g. Urea nitrogen 17 mg%.