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病历摘要患者,男性,38岁。血尿反复发作12年、头昏、面部浮肿4个月。1970年骤发全程肉眼血尿伴腰部酸痛,用青,链霉素及止血剂治疗后血尿消失。其后曾在外院作IVP发现双侧肾结石,服中药排石未见尿石排出。1977年10月又出现肉眼血尿伴右肾区绞痛,向会阴部放射,继之解出尿石二颗(枣仁及蚕豆大小各一颗),此后疼痛及血尿消失。1982年6月第3次血尿,在本院检查,发现左肾结石,左肾外影增大,上肾盏呈棉球状,杯口消失,下肾区大片致密影。右肾未显影。血压160/110,尿蛋白少量,血尿素氮18mg%,肌酐
Patient summary, male, 38 years old. Hematuria repeated attacks for 12 years, dizziness, facial edema for 4 months. Sudden onset of gross hematoma in 1970 with waist pain, with blue, streptomycin and hemostatic treatment of hematuria disappeared. Later, IVP was found in the outreach hospital for bilateral kidney stones, and no urinary stones were discharged from Chinese medicine. October 1977 appeared again with gross hematuria with right renal colic, radiation to the perineum, followed by the solution of urinary stones two (Zaoren and broad bean size of a), then the pain and hematuria disappear. In 1982 June the third hematuria, in our hospital examination and found that the left kidney stones, left kidney external shadow increases, the calyx was cotton ball, disappear cup, under the large area of the kidney shadow. Right kidney is not developed. Blood pressure 160/110, a small amount of urinary protein, blood urea nitrogen 18mg%, creatinine