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患者男,45岁,1977年5月7日入院。4年多前发生双腰胀痛,伴尿频、尿急及全程肉眼血尿。有不规则血凝块及血丝、经抗炎治疗缓解。以后反复发作。1月前发现右上腹有小碗大包块,缓慢长大。既往曾患风心病及肺脓肿。体检:心尖区可闻舒张晚期杂音及Ⅲ级收缩期杂音。双肺阴性。右上腹可扪及7×6厘米肾种块,表面不光滑,中等硬度,可活动,深触痛。化验:血红蛋白8.9克%,白细胞4.850。尿蛋白(+),红细胞10～15个/高倍,白细胞15～20个/高倍,脓细胞(+)。尿细胞学检查2次均阴性。肝、肾功能正常。胸部 X 线透视阴性。逆行肾盂造影:右肾下极显著肿大,肾盂及下盏向上推移致中下盏聚
The male patient, 45 years old, was admitted to hospital on May 7, 1977. More than four years ago, double lumbar pain occurred with frequent urination, urgency, and gross hematuria. Irregular blood clots and bloodshots are relieved by anti-inflammatory treatment. After repeated attacks. One month ago, I found a large bowl of small pieces in the right upper abdomen and slowly grew up. Previously suffered from rheumatic heart disease and lung abscess. Physical examination: The apex can be heard of late diastolic murmurs and grade III systolic murmurs. Double lungs are negative. The right upper abdomen can be paralyzed with 7×6 cm kidney seed blocks. The surface is not smooth, medium hardness, can move, deep tenderness. Laboratory tests: Hemoglobin 8.9 g%, WBC 4.850. Urinary protein (+), red blood cells 10 to 15/high power, white blood cells 15 to 20/high power, pus cells (+). The urine cytology test was negative 2 times. Liver and kidney functions are normal. Chest x-ray negative. Retrograde pyelography: The right kidney is extremely swollen, and the renal pelvis and lower jaw are pushed upwards to make the lower jaw accumulate.