患者 ,男 ,65岁。以血尿 ,尿线中断 42年 ,尿液呈粪臭味 ,时有气体溢出而入院。患者 42年来常尿中带血 ,排尿中断 ,近 3年来发现小便带有粪便或气体溢出。多次在外院治疗后 ,未能治愈。体检 :体温 36.8℃ ,脉搏 80次 /min,血压 1 44 /80 mm Hg(1mm Hg=0 .1 33k Pa)。腹平软 ,无 Patient, male, 65 years old. With hematuria, urinary line interrupted for 42 years, the urine was excrement smell, when gas overflow and admission. In the past 42 years, patients have frequent urination with blood and urination interrupted. In the past three years, urine or stools have been found in urine. Repeatedly outside the hospital after treatment, failed to cure. Physical examination: body temperature 36.8 ℃, pulse 80 beats / min, blood pressure 44/80 mm Hg (1mm Hg = 0. 1 33k Pa). Abdomen soft, no