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病例摘要患者,男性,28岁,农民。1985年5月因复发性无痛性血尿23年入院。患者自5岁时出现血尿,无尿频、尿急及尿痛,发作持续时间短。近8年来发作频繁,一年内血尿出现6～8次,每次持续20余天,多在劳累后血尿发作。近年来加重伴有片状血块。年前因失血性贫血住我院内科,住院时先后两次排泄性尿路造影均无异常。此次,因血尿并失血性贫血(血色素只有40g/L)由内科转入我科。膀胱镜检见膀胱内出血,右侧壁及三角后区见2个血管团,左侧壁有散在性绿豆大小凸起之血管球,均有活动性出血。
Patient, male, 28 years old, farmer. May 1985 due to recurrent painless hematuria 23 years admitted. Hematuria, urinary frequency, urgency, and dysuria occurred in patients from the age of 5, and the duration of the episode was short. Almost eight years episodes frequent, hematuria within a year occurred 6 to 8 times, each lasting more than 20 days, and more in the tired hematuria. In recent years, aggravated with flaky blood clots. Years ago due to hemorrhagic anemia live in our hospital, two urinary tract urography were admitted to hospital without abnormalities. This time, due to hematuria and hemorrhagic anemia (hemoglobin only 40g / L) transferred from our department by internal medicine. Cystoscopy see intravesical hemorrhage, the right side of the wall and the triangle posterior area see 2 vascular groups, the left side of the wall with scattered size of the raised green bean ball, have active bleeding.