论文部分内容阅读
病历摘要沈××,男,30岁,1960年12月22日入院。患者于同年3月曾在本院內科門診检查,以腹痛、尿血,先后用中药及呋喃西林无效,至11月始以“腎结核”印象转外科。溯自13岁时曾患“砂淋”,后經阴茎部切口取出小石治愈,約在25岁后常感腰部鈍痛,累年輕度发作,未加注意。近二年来症状加重,有时如刀割样疼痛并牵涉至腰背脊柱二侧,无尿頻,劳累后常見小便带血(暗紅色或有血块),飽食后腹內窒压感,有时脐周隐痛。检查:发育良好,营养一般,心肺(-),腹柔
Medical records Shen × ×, male, 30 years old, December 22, 1960 admission. Patients in March the same year in our hospital out-patient examination to abdominal pain, hematuria, has used traditional Chinese medicine and nitrofurazone invalid, to the beginning of November to “renal tuberculosis” impression of surgery. Suffering from the age of 13 had “sand shower”, after the small incision to remove the penis cured, about 25 years old often feel lumbago, mild onset of seizures, without notice. Over the past two years the symptoms worsened, sometimes like knife-like pain and involve both sides of the spine and back of the spine, without frequent urination, common urinary bloody (dark red or blood clots) after exertion, suffocation after abdominal distension, sometimes umbilical pain . Check: well-developed, general nutrition, cardiopulmonary (-), abdomen soft