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患者,男,37岁,广东籍。因右侧腰痛四年余,尿频、尿急、尿痛及间歇性肉眼血尿一年,于1989年3月入院。查体:T36.5℃,P84次/min,BP14.7/8.3kPa。腹平软,右肾区有轻叩痛。膀胱区未扪及肿物。静脉肾盂造影示:右肾内铸形绪石,约3×5cm。左输尿管下段绪石,约2×2.2cm。膀胱内巨大结石约8×7cm,左肾盂积水,双肾功能减退。尿检红细胞((?)),白细胞(+)。中段尿培养:菌落计数<200/ml。血钙:2.25mmol/L,血磷:1.12mmol/L。术前诊断:右肾铸形结石,左输尿管下段结石,膀胱结石。在充分准备后,于硬膜外麻醉下拟行左输尿管下段及膀胱切开取石术。下腹部正中切口,切开勝胱后,完整将巨大结石取出。即见结石下方,膀胱右侧
Patient, male, 37 years old, Guangdong nationality. Due to the right lower back pain for more than four years, frequent urination, urgency, dysuria and intermittent gross hematuria a year, in March 1989 admitted. Physical examination: T36.5 ℃, P84 times / min, BP14.7 / 8.3kPa. Abdomen soft, right kidney area has a light tapping pain. Bladder area palpable mass. Intravenous pyelography showed: cast in the right kidney stone, about 3 × 5cm. Lower left ureter stone, about 2 × 2.2cm. Bladder large stones about 8 × 7cm, left hydronephrosis, renal dysfunction. Urinalysis of red blood cells ((?)), White blood cells (+). Urine culture in the middle: colony count <200 / ml. Calcium: 2.25mmol / L, phosphorus: 1.12mmol / L. Preoperative diagnosis: the right kidney cast stone, lower ureteral calculi, bladder stones. After adequate preparation, under the epidural anesthesia under the proposed left lower ureter and cesarean section. The lower abdomen incision, cut the serpentine, the complete removal of huge stones. See below the stones, the right side of the bladder