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例1,男,52岁。1989年8月因多发性膀胱癌行膀胱全部切除,膀胱再生术。术后数月出现尿频、尿混浊、双侧腰痛,间歇血尿和分段排尿。同年12月IVU示双肾积水,双侧输尿管扩张。次年11月膀胱造影剂返至两侧输尿管显示扩张。BUN 11mmol·L~(-1),Cr 162.5μmol·L~(-1)尿培养沙雷氏菌。诊断慢性肾功能不全收入院。经抗炎、支持治疗后,行回肠膀胱术。术后肾功能恢复。随访一年情况良好。
Example 1, male, 52 years old. August 1989 due to multiple bladder cancer line bladder resection, bladder regeneration. Months after the occurrence of frequent urination, turbid urine, bilateral back pain, intermittent hematuria and segmental urination. In the same year in December IVU showed hydronephrosis, bilateral ureteral dilatation. The following year in November bladder contrast agent returned to both sides of the ureter showed expansion. BUN 11 mmol·L -1 and Cr 162.5 μmol·L -1 were used to culture Serratia. Diagnosis of chronic renal insufficiency hospital. After anti-inflammatory, supportive treatment, ileal bladder surgery. Postoperative renal function recovery. One year follow-up was in good condition.