患者张某,男,47岁,干部。于1973年8月起出现腰部、下腹部隐痛,以“肾盂肾炎”在本单位卫生所治疗,症状改善。但尿镜检一直可见红、白细胞。1976年2月初又感腰部酸胀,下腹及尿道隐痛。在本单位行静脉肾盂造影,确诊为“膀胱结石”转来我院。患者发病后无发热、呕吐、腹泻等其它症状。无腹绞痛史,无膀胱刺激症状,无尿中断现象。小便次数、量均正常。既往曾患肺结核,复查已钙化,无心血管病史。体检:膀胱区轻度压 Patient Zhang, male, 47 years old, cadre. In August 1973 from the waist, lower abdominal pain, “pyelonephritis ” in the unit health clinic, the symptoms improved. However, urine microscopy has been seen red and white blood cells. Early February 1976 a sense of soreness in the waist, lower abdomen and urethral pain. Intravenous pyelography in this unit, diagnosed as “bladder stones ” transferred to our hospital. After the onset of fever, vomiting, diarrhea and other symptoms. No history of abdominal cramps, no bladder irritation, no interruption of urine. The number of urine, the amount of normal. Previously had tuberculosis, review has been calcified, no history of cardiovascular disease. Physical examination: mild pressure in the bladder area