论文部分内容阅读
刘某,男,34岁。于84年3月14日因间断性血尿15年近一周加重,急诊入院.患者自述15年前不明原因出现全程血尿,同时伴有尿频、尿急、尿痛,经当地用抗生素及止血药治疗,血尿持续三天消失。近三年来,血尿反复发生。3月13日尿血量达1000毫升左右,血压80/50毫米汞柱,经当地治疗无好转,在阿拉明维持血压的情况下,急转我院诊治.体检:体温37.4℃,脉搏108/分,血压100/60毫米汞柱,发育营养正常,贫血貌,心肺(一),腹平软,无压痛。双肾未扪及,左肾轻度压痛,双侧输尿管体表投影区无压痛,膀胱不充盈,外生殖器未见异常。化验:血常规:白细胞9800,中性细胞
Ryu, male, 34 years old. In March 14, 84 due to intermittent hematuria increased nearly 15 weeks a week, emergency admission.Patients readme 15 years ago for unknown reasons, hematuria, accompanied by urinary frequency, urgency, dysuria, by local antibiotics and hemostatic treatment Hematuria disappeared for three days. In the past three years, hematuria repeatedly occurred. On March 13, blood urea nitrogen reached about 1000ml, blood pressure 80/50 mmHg, after local treatment did not improve, in Alamin to maintain blood pressure in the case of acute hospital diagnosis and treatment. Physical examination: body temperature 37.4 ℃, pulse 108 / Points, blood pressure 100/60 mm Hg, normal developmental nutrition, anemia, heart and lung (a), abdominal soft, no tenderness. Kidney is not palpable, mild left kidney tenderness, bilateral ureteral surface projection area without tenderness, bladder filling, no abnormal genitalia. Laboratory tests: blood: white blood cells 9800, neutral cells