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张××,男,31岁。患者于1981年9月9日突发肉眼全血尿伴血块,同时伴有右腰部阵发性绞痛,于1981年9月10日收入我院治疗。入院检查:一般情况好,皮肤无出血及水肿,体温37.8℃,血压90/60,脉搏80次。头颅及心肺无异常,腹软、肝脾未扪及。膀胱区有压痛、右侧脊肋角有明显压痛,右肾区有叩击痛,未扪及包块。脊柱和四肢正常。血常规:血红蛋白10克,红细胞338万,白细胞14,200,中性86%,淋巴14%,凝血时间分钟,出血时间1分钟。尿常规t蛋白+,红细胞+++。尿脱落细胞检查仅见大量红细胞和中性白细胞及极少数上皮细胞外,未发现异型细胞。非蛋白氮45毫克%,二氧化碳结合力48容积%。肝功能;谷丙转氨酶正常。排泄性尿路造影;右侧肾脏不显影,左肾显影清
Zhang × ×, male, 31 years old. Patients on September 9, 1981 sudden gross hematuria with blood clots, accompanied by paroxysmal nocturnal angina, in September 10, 1981 income in our hospital. Admission examination: generally good, no bleeding and edema of the skin, body temperature 37.8 ℃, blood pressure 90/60, pulse 80 times. No abnormal skull and cardiopulmonary, abdominal soft, liver and spleen not palpable. There are tenderness in the bladder area, the tenderness of the right spine is obviously tender, the right kidney area has a percussion pain and no palpable mass. Spine and limbs normal. Blood: 10 grams of hemoglobin, red blood cells 3.38 million, white blood cells 14,200, 86% neutral, lymph 14%, clotting time, bleeding time 1 minute. Urinary routine t protein +, red blood cells +++. Urine exfoliated cells showed only a large number of red blood cells and neutrophils and a very small number of epithelial cells, no abnormal cells were found. 45 mg% of non-protein nitrogen, 48% by volume of carbon dioxide binding capacity. Liver function; alanine aminotransferase normal. Excretory urography; right kidney is not developing, developing clear left kidney