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患者,女,28岁。自1979年起常因体力劳动后发作间隙性无痛性肉眼全血尿,每次发作出血量大,伴有明显贫血,有一次血红蛋白下降到4克,经休息和止血药物沿疗后,尿色可转为正常,无其他尿路症状。曾在省内外医院多次住院诊治,未明确诊断。体检:体温37.2℃脉搏88次/分,血压90/60。心肺无异常,肝脾和两肾未触及,右肾区有轻叩痛。红细胞320万血红蛋白8.5克。出凝血时间和凝血酶元时
Patient, female, 28 years old. Since 1979, often due to manual labor episodes of painless intermittent gross hematuria, each episode of bleeding, accompanied by significant anemia, hemoglobin once dropped to 4 grams, after rest and stop bleeding drugs along the treatment, urine Color can be converted to normal, no other urinary tract symptoms. Hospital in the province has repeatedly hospitalized and diagnosed, not a clear diagnosis. Physical examination: body temperature 37.2 ℃ pulse 88 beats / min, blood pressure 90/60. No abnormal heart and lung, liver and spleen and the two kidneys did not touch, the right kidney area has a light tapping pain. 3.2 million red blood cells hemoglobin 8.5 grams. Clotting time and thrombin time