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患者,男,46岁。因孤立肾尿毒症于1989年10月26日转我院。患者于1957年曾因左肾结核施左肾切除。近3年来右肾逐渐增大。检查:神志清,慢性病容,营养欠佳。右侧腹饱满,右肋下4横指处可触及肾下极,囊性感。B超提示右肾区大片状无回声区,巨大肾积水。BP 21.3/14.7 kPa(160/110 mmHg),心律90次,体温37.3℃。血常规:WBC 5500,N 82,L 12,Hb 10.7。血沉:第1小时26 mm,第2小时
Patient, male, 46 years old. Due to isolated renal uremia in October 26, 1989 transfer to our hospital. Patients in 1957 had left renal tuberculosis left renal resection. Right kidney gradually increased in the past three years. Check: Conscious, chronic disease, poor nutrition. Full right abdomen, right transverse rib 4 can refer to the lower extremity under the pole, cystic sexy. B ultrasound prompt large area of the right kidney area anechoic area, huge hydronephrosis. BP 21.3 / 14.7 kPa (160/110 mmHg), heart rate 90 times and body temperature 37.3 ° C. Blood: WBC 5500, N 82, L 12, Hb 10.7. ESR: the first hour 26 mm, the first 2 hours