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患儿男性,15岁。发现左腰部肿块20天。患者诉1月来跑步时感左腰坠痛,休息后缓解。发现肿块后,自觉乏力、纳差、头晕等症。大小便无殊。B超提示左肾实质性占位性病变。于1985年11月14日收住入院。入院检查:贫血貌,无肢体、眼睑浮肿。上腹局部略饱满,左腰腹侧可触及约10cm肿块,质中,边界清.不活动.压痛、叩击痛明显。右肾可及,无叩痛。其余正常。实验室检查:BUN9.6mmol/L,肌酐117.6μmol/L,PSP试验正常。IVP检查显示左肾外形增高,部分肾盏消失,所能显示之肾盏有压迫变形,上段输尿管也见受压改变,但尿路通畅。右肾及膀胱无殊。临床拟诊在肾实质性肿瘤。
Children with children, 15 years old. Left lumbar mass was found for 20 days. Patients complained about running in January left waist pain, rest and ease. Found lumps, conscious fatigue, anorexia, dizziness embolism. No special toilet. B-Tip left renal parenchymal lesions. November 14, 1985 admitted to hospital. Admission examination: anemia appearance, no limbs, eyelid edema. Upper abdomen slightly full, slightly lower left ventral palpable mass about 10cm, quality, the border clear. Inaction. Tenderness, percussion pain significantly. Right kidney can be, no percussion pain. The rest normal. Laboratory tests: BUN9.6mmol / L, creatinine 117.6μmol / L, PSP test was normal. IVP examination showed that the shape of the left kidney increased, part of the calyx disappeared, can show the deformation of the calyceal deformity, upper ureter also see pressure changes, but the urinary tract patency. Right kidney and bladder without special. Clinical diagnosis in the renal parenchymal tumor.