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1病例报告患者男,65岁。因膀胱癌术后复发入院。查体:体温36.5℃,心率76/min,呼吸18次/min,血压150/100mmHg,心肺未见明显异常。实验室检查:白细胞计数41.1×10~9/L、嗜中性粒细胞绝对值36.2×10~9/L、血红蛋白129g/L。盆腔螺旋CT平扫+增强扫描示,左侧膀胱壁结节。入院第5天进行膀胱肿瘤等离子切除术。术后第2天,引出尿液为血红色并多次堵塞导尿管,膀胱冲洗时,引出大量血凝块。更换导尿管后,给予静脉注射尖吻蝮蛇血凝酶(北京康辰药业股份有限公司生产)
1 case report Patient male, 65 years old. Bladder cancer recurrence due to hospitalization. Physical examination: body temperature 36.5 ℃, heart rate 76 / min, breathing 18 times / min, blood pressure 150 / 100mmHg, no obvious heart and lung abnormalities. Laboratory tests: white blood cell count 41.1 × 10 ~ 9 / L, absolute neutrophil 36.2 × 10 ~ 9 / L, hemoglobin 129g / L. Pelvic spiral CT scan + enhanced scan, the left bladder wall nodules. On the 5th day of admission, bladder tumor plasma resection was performed. On the second postoperative day, urine was drawn red and the catheter was plugged several times. When the bladder was washed, a large amount of blood clot was educed. After changing the catheter, intravenous injection of Agkistrodon halysii (Beijing Kangchen Pharmaceutical Co., Ltd.)