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患者系飞行学员,男,19岁,主诉阵发性左下腹绞痛伴血尿1天入院。患者于1994年9月23日凌晨突发左下腹疼痛,似刀剖样,出冷汗、恶心未吐,持续半小时疼痛自行缓解。至入院前先后发作4次,以参加1500m长跑时疼痛最剧,并出现左脊肋部胀痛。尿常规镜检见红细胞13—25/高倍视野。腹部平片无异常。B超探查:右肾无异常,左肾不大,左肾上极肾窦区可探及数粒点状强回声,有声影,最大为0.5cm×0.4cm。冠扫时左肾窦区典型烟斗状无回声区,左侧输尿管
The patient was a flying student, male, 19 years old and complained of paroxysmal left lower quadrant colic with 1-day admission to hematuria. Patients in the early morning of September 23, 1994 sudden left lower quadrant pain, like knife profile, a cold sweat, nausea, vomiting, pain relief for half an hour to ease themselves. Before going to hospital has attacked 4 times in order to participate in the 1500m long-distance running the most dramatic pain, and the left ridge rib pain. Urine routine examination of red blood cells 13-25 / high power field. Abdominal plain film without exception. B-probe: the right kidney no abnormalities, the left kidney is not large, the left renal pole can be found on the area of the renal sinus and a few strong point echogenic, with sound, the maximum 0.5cm × 0.4cm. Sweep the left renal sinus when the typical pipe-like anechoic area, the left ureter