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1临床资料患者,女性,76岁,因左侧腰部疼痛2 h,向背部放射,伴全身乏力、头晕、大汗淋漓及恶心呕吐就诊,无尿频、尿急、尿痛,无血尿,无发热、盗汗,近期无体重减轻。既往有冠心病、血小板减少性紫癜、胆囊结石,否认高血压、肾病等病史,无药物过敏史。查体:浅表淋巴结无肿大,胸骨无压痛,腹软,左肾区叩痛阳性,未及血管杂音,双侧输尿管走行区无压痛,膀胱区空虚,无压痛。实验室检查:白细胞计数4.83×109/L,淋巴细胞百分比0.2190,血红蛋白114 g/L,血小板计数
1 clinical data, female, 76 years old, due to left lumbar pain for 2 h, back to the radiation, with generalized weakness, dizziness, sweating and nausea and vomiting, no urinary frequency, urgency, dysuria, no hematuria, no fever , Night sweats, no weight loss recently. Past history of coronary heart disease, thrombocytopenic purpura, gallstones, denied hypertension, kidney disease and other medical history, no history of drug allergy. Physical examination: superficial lymph nodes without swelling, sternal no tenderness, abdominal soft, right kidney area knocking pain positive, not vascular plaque, bilateral ureteral walking area without tenderness, empty bladder area, no tenderness. Laboratory tests: white blood cell count 4.83 × 109 / L, lymphocyte percentage 0.2190, hemoglobin 114 g / L, platelet count