论文部分内容阅读
患者女,66岁,住院号1472。反复血尿29年,复发2个月,于1982年6月6日第7次入院。于1953年春季发生第一次血尿,血尿前无任何不适感。经治疗后,症状消失。1962年再次发生血尿。自此反复发作,近10余年来发生5~6次。发作时,有时为初段血尿,有时为全程血尿,尿色时为鲜红,时为淡红。伴有骶、尾骨部不适。无腹痛、腰痛、畏寒、发热、尿频、尿痛等症状。曾在各大医院未能确诊,先后诊断为血尿原因待查、泌尿系结石、肾结核、肾肿瘤、膀胱癌等。但治疗后,血尿缓解,或突然消失。近2月来症状又复发,且血量较以往更多。体查:体温36.5℃,皮肤、颜面苍白,心尖区闻及Ⅱ级吹风样杂音。其余无异常。实验室检查:血红蛋白7克%,白细胞7000,中性72%,淋巴28%。尿常规:血性混浊,蛋白++++,红细胞++++,白细胞+。尿三杯试验:
Female patient, 66 years old, hospital number 1472. Repeated hematuria 29 years, relapse 2 months, on June 6, 1982 the seventh admission. The first hematuria occurred in the spring of 1953, without any discomfort before hematuria. After treatment, the symptoms disappear. Hematuria occurred again in 1962. Since then repeated attacks, occurred in the past 10 to 5 to 6 times. Attack, sometimes for the initial hematuria, and sometimes for the whole hematuria, urine when the bright red, when the red. Accompanied by sacral, caudal discomfort. No abdominal pain, back pain, chills, fever, frequent urination, dysuria and other symptoms. Has failed to diagnose major hospitals, has diagnosed the cause of hematuria to be investigated, urinary stones, renal tuberculosis, kidney cancer, bladder cancer. However, after treatment, hematuria, or suddenly disappear. Symptoms have recurred in the past two months, with more blood than ever before. Physical examination: body temperature 36.5 ℃, pale skin, apex area smell and Ⅱ grade hair style noise. The rest without exception. Laboratory tests: 7 grams of hemoglobin, leukocytes 7000, 72% of neutral, lymphatic 28%. Urine: bloody opacity, protein ++++, red blood cells ++++, white blood cells +. Three cups of urine test: