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患者男,40岁.排尿困难20年,血尿、脓尿1月余伴尿频尿急入院.查体:慢性病容,贫血貌,眼睑轻度浮肿.心肺正常.肝脾不大.下腹部触及一个14×15cm~2肿块,质硬、不活动、有压痛.实验室检查血红蛋白6.8g,白细胞25000/mm~3.肝功正常.尿常规:红细胞(++),蛋白(+),脓细胞(++).B超提示膀胱结石.腹部X线平片:膀胱区可见一个7.2×8.5cm~2之椭圆形高密度阴影,边缘光滑锐利.诊断:巨大膀胱结石.
Patients with male, 40 years old. Difficult to urinate for 20 years, hematuria, pyuria in January with urinary urgency admitted to hospital. Physical examination: chronic disease, anemia appearance, mild edema of the eyelid. Cardiopulmonary normal. Laboratory tests hemoglobin 6.8g, white blood cells 25000 / mm ~ 3. Normal liver function. Urine routine: red blood cells (+ +), protein (+), pus cells ( ++) B-Tip bladder stones Abdomen X-ray: A 7.2 × 8.5cm-2 oval high-density shadow is visible in the bladder area, with smooth, sharp edges Diagnosis: Huge bladder stones.