男,29岁。于1976年5日18日突感左侧腰部剧痛,无小便排出。1978年6月20日起全身浮肿,食欲不振,伴恶心,呕吐咖啡样液体,每天3～4次,每次约100～200ml,于1976年6日5日入院。患者1973年起曾感间歇性左侧腰痛。检查:体温 38℃,脉搏72次/分,血压146/98mmHg。双眼结膜下有小片状出血点,双下肢凹陷性水肿。腹软,左肾可触及,位于左肋缘下约7cm,质软,表面光滑,左输尿管行走区域有压痛,左肾区叩击痛 Male, 29 years old. In 1976 on the 5th on the 18th sudden left side of the waist pain, no urine discharge. June 20, 1978 since the whole body edema, loss of appetite, with nausea, vomiting coffee-like liquid 3 to 4 times a day, each about 100 ~ 200ml, on the 5th of 1976, admitted to hospital. Patients had intermittent left lower back pain since 1973. Check: body temperature 38 ℃, pulse 72 beats / min, blood pressure 146/98 mmHg. There are small pieces of conjunctival bleeding, lower limb pitting edema. Abdominal soft, left kidney can be touched, located in the left costal margin about 7cm, soft, smooth surface, left ureteral walking area have tenderness, left kidney area percussion pain