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患者,女,64岁。入院前2月突然感左上腹、左腰区疼痛,疼痛呈持续性,偶有阵发性绞痛,伴有寒战、发热、尿频、尿急、尿痛。曾在当地医院按肾盂肾炎治疗,入院前10天曾排出粉皮状物1块,住院后再次排出5cm×4cm大小粉皮状物1块。追问病史其家曾有养狗史。体检:体温37.8℃,全身营养状况较差,呈消瘦贫血貌,左上腹可触及-15cm×10cm大小包块,边缘较整齐,有弹性,压痛(+),未叩击明显震颤感。左输尿管走行区压痛(+)。膀胱镜检:膀胱粘膜光
Patient, female, 64 years old. Feeling suddenly left upper quadrant before admission, left lumbar area pain, persistent pain, occasionally paroxysmal colic, accompanied by chills, fever, frequent urination, urgency, dysuria. In the local hospital according to pyelonephritis treatment, 10 days before admission had discharged a powdery skin, discharged again after the hospital 5cm × 4cm size powder 1. History of his family had dog history. Physical examination: Body temperature 37.8 ℃, poor general nutritional status, was thin an anemic appearance, the left upper abdomen can reach -15cm × 10cm size of the mass, the edge more neat, flexible, tenderness (+), not knocking significant tremor. Left ureter walking area tenderness (+). Cystoscopy: bladder mucosa light