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患者男性,26岁.因突发持续性腰痛、镜下血尿1天,拟诊肾结石.于1990年4月2日入院.入院检查:T、P、BP正常.一般状况好.心肺(一),腹部未扪及肿块,右肾区有叩击痛.实验室检查:血红蛋白130g/L,白细胞10.7×10~9/L,中性70%.尿常规:红细胞满视野.肝功:HBsAg 1:64(+)、IST(+)、TTT16u、ZnTT14u、SGPT97u.B超提示右肾略肿大,皮质薄,于肾盂内探及低回声为主的光团,大小6.5cm×6.0cm×6.0cm,边缘规则,后方回声强.IVP显示右肾盂有7cm×6cm的弧形压迹,上肾盏不清,下肾盏延长扩张,输尿管轻度扩张.入院诊断:(1)右肾肿瘤;(2)乙型肝炎.
Male patient, aged 26. Because of sudden persistent low back pain, microscopic hematuria 1 day, diagnosed with kidney stones .Patients were admitted on April 2, 1990. Admission examination: T, P, BP normal. ), Abdomen not palpable mass, right kidney area percussion pain.Laboratory examination: hemoglobin 130g / L, white blood cells 10.7 × 10 ~ 9 / L, neutral 70%. 1:64 (+), IST (+), TTT16u, ZnTT14u, SGPT97u.B super tips on the right renal slightly enlarged, thin cortex, exploration in the renal pelvis and low echo-based light group, the size of 6.5cm × 6.0cm × 6.0cm, the edge of the rule, the back of the echo strong.IVP showed the right renal pelvis 7cm × 6cm arc indentation, the upper calyx is not clear, the next extension of the calyceal expansion, mild ureteral dilatation. Admission diagnosis: (1) right kidney tumors ; (2) Hepatitis B.