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患者,男,68岁。因双侧腰痛、浮肿2周,无尿6天为主诉入院。病程中发生无痛性肉眼血尿2次,均自行停止。两年前因前列腺增生症行经尿道前列腺包膜内剜除术,术后病理检查为前列腺高分化癌,Gleason评分5分,术后因患者拒绝行前列腺癌根治术,故给予双侧睾丸切除、抗雄激素治疗。本次入院体检:患者贫血貌,颜面及双下肢浮肿明显,双肾区叩击痛阳性。血常规中白细胞12.05×109/L,血红蛋白80g/L,肝功中总蛋白45g/L,白
Patient, male, 68 years old. Due to bilateral low back pain, edema 2 weeks, 6 days without urine main complaint. During the course of painless gross hematuria 2 times, all on their own to stop. Two years ago because of benign prostatic hyperplasia by transurethral resection of the prostate capsule, postoperative pathological examination of well-differentiated prostate cancer, Gleason score 5, postoperative patients refused to undergo radical prostatectomy, so give bilateral orchiectomy, Anti-androgen therapy. The admission examination: patients with anemia appearance, facial and lower extremity edema, renal percussion pain positive. Blood routine white blood cells 12.05 × 109 / L, hemoglobin 80g / L, total liver protein 45g / L, white