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例1 男,37岁。因突发性严重血尿伴血块入院。摄尿路子片及静脉肾盂造影未发现异常。B超见膀胱内有血块滚动。膀胱镜检查:清除膀胱内大量血块后见膀胱顶部右侧有1.5×1.0cm凝血块,悬吊于右侧顶部,用输尿管导管推去血块后见0.5×0.4cm肿块,并有活动性出血。体检无异常发现。在持续硬麻下手术,见膀胱顶偏右有一0.9×0.7cm隆起性肿块,侵及肌层,有活动性出血,周围境界清,行膀胱部分切除,术后恢复好。病理检查为膀胱毛细血管瘤。随访8年未复发。
Example 1 male, 37 years old. Due to sudden severe hematuria with blood clots admitted. Urinary tract and intravenous pyelography did not find abnormalities. B see the blood within the bladder rolling. Cystoscopy: clear a large number of blood clots in the bladder see the top of the right side of the bladder with 1.5 × 1.0cm clot, suspended in the right top, with ureteral catheter push the clot see 0.5 × 0.4cm mass, and active bleeding. No abnormal physical examination found. Continued under hard anesthesia surgery, see the top of the right side of the bladder with a 0.9 × 0.7cm bumpy mass, invasion and muscle, active bleeding, clearance around the state, the line of bladder resection, postoperative recovery is good. Pathological examination of the bladder capillary hemangioma. Follow-up 8 years without recurrence.