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患者男,25岁,因右腰部胀痛伴血尿四年,于1983年2月22日入院。检查:血压150/92毫米汞柱,右肾区有叩击痛,尿常规:红细胞(+),白细胞2~3,血尿素氮15毫克%,腹部平片见右肾区有多个致密阴影,静脉造影肾盂肾盏扩大,平片所见之致密影在肾盂肾盏内,左肾正常。诊断:右肾多发性结石并轻度积水。于1983年3月7日在硬膜外麻醉下,经第11肋间切口剥离切取右肾置于体外,迅速从肾动脉插管低温灌注,切开肾脏取出144粒结石,其中一粒鹿角形结石为3×3.5×4厘米,安置肾造瘘管,肾盂肾盏
Male patient, 25 years old, with right lower back pain and hematuria for four years, was admitted on February 22, 1983. Check: blood pressure 150/92 mm Hg, right kidney area percussion pain, urine routine: red blood cells (+), white blood cells 2 to 3, blood urea nitrogen 15 mg%, abdominal plain film see the right kidney area has multiple dense shadows , Intravenous pyel extension of the calyx, plain film seen dense shadow in the renal pelvis calyx, left kidney normal. Diagnosis: Multiple lesions of the right kidney and mild waterlogging. On March 7, 1983 under epidural anesthesia, the right kidney was dissected through the 11th intercostal incision and placed in vitro. Hypothermia was perfused rapidly from the renal artery and the kidney was excised to remove 144 stones. One of the antlers Stone is 3 × 3.5 × 4 cm, placement of renal fistula, renal pelvis calyx