论文部分内容阅读
1病例介绍患者男,60岁。2014年2月7日无明显诱因突然出现右上腹疼痛,呈绞痛,持续不缓解,未向其他方向放射。当地医院超声提示:考虑右肾结石可能性大、右侧肾盂略扩张;尿常规示:隐血++、镜检红细胞+;给予输液治疗(具体不详)仍无缓解。2014年2月9日就诊于我院,体格检查:右肾区叩击痛,右输尿管走行区上段压痛。化验:红细胞计数3.92×1012/L,中性粒细胞百分数76.3%;间接胆红素
1 case description Patient male, 60 years old. February 7, 2014 There was no obvious cause of sudden onset of right upper quadrant pain, angina pectoris, continued to not ease, did not radiate in the other direction. Local hospital ultrasound Tip: consider the possibility of a large right kidney stones, the right renal pelvis slightly dilated; urinary routine showed: occult blood ++, microscopic examination of red blood cells; give infusion therapy (specific unknown) still no relief. February 9, 2014 Visit to our hospital, physical examination: right kidney percussion pain, right upper ureteral walking area tenderness. Laboratory tests: erythrocyte count 3.92 × 1012 / L, the percentage of neutrophils 76.3%; indirect bilirubin