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患者,男,34岁。以血尿20天于1989年1月20日入院。患者膀胱肿瘤膀胱部分切除术后3年,近20天突然发生全程无痛性血尿2次,量大,色暗,伴有条状血块。腰痛、腰酸胀感,右侧为重。无泌尿刺激症状,不发热。体检:T 36.7℃P 94次/分R 20次/分Bp16.0/10.7kPa(120/80mmHg)。腹软,脐下正中切口瘢痕5.0cm,双肾未触及,右输尿管走行部位压痛,平脐腹直肌外缘明显,无包块,右肾区叩击痛阳性,肠音良好。脊柱及外生殖器未见异常。实验室检查:血:Hb13.0g%,WBC7000个/mm~3。尿:蛋白(+),RBC10～15/Hp,WBC10～15个/Hp。尿素氮14.3mg%。尿连续三次找癌细胞均无发现。心电
Patient, male, 34 years old. Hematuria 20 days in January 20, 1989 admission. Bladder cancer in patients with partial resection of the bladder 3 years, nearly 20 days suddenly occurred throughout the painless hematuria 2 times, a large amount of color dark, with a strip of blood clots. Back pain, back soreness, the right is heavy. No urinary irritation, no fever. Physical examination: T 36.7 ° C P 94 beats / min R 20 beats / min Bp 16.0 / 10.7 kPa (120/80 mmHg). Abdominal soft, mid-incision under the incision scar 5.0cm, the kidneys did not touch, the right ureteral walking tenderness, umbilical rectus abdominis obvious, no mass, the right renal percussion pain was positive, good bowel sounds. Spinal and genital abnormalities were not seen. Laboratory tests: blood: Hb13.0g%, WBC7000 / mm ~ 3. Urine: protein (+), RBC10 ~ 15 / Hp, WBC10 ~ 15 / Hp. Urea nitrogen 14.3 mg%. Urine found no cancer cells three times in a row. ECG