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患者女,25岁,住院号77～6139。无尿9天,于1977年8月14日入院。3月前脸面浮肿,血压增高,左腰部触及拳头大肿块,住某院治疗后病情加重,尿量逐渐减少,浮肿加剧,左上腹肿块增大,并有气急、恶心、呕吐,于1977年7月5日手术探查,术后诊断右肾肿瘤,左肾先天性缺损。术后2周病情又加重,血压升高170/110毫米汞柱,全身浮肿,腹水加重,呕吐、发热、呼吸短促,9天无尿转来我院。检查:体温37.5℃,脉搏120次/分,血压170/114毫米汞柱,全身浮肿,贫血,扁桃体肿大,心肺无异常。腹膨隆,肝脾未触及,左侧可触及拳头大肿块,
Female patient, 25 years old, hospital number 77 ~ 6139. Anuria 9 days, on August 14, 1977 admission. 3 months ago, face edema, high blood pressure, left lumbar fist touching the big block, living in a hospital after exacerbations, urine volume gradually reduced, edema aggravated, left upper abdomen mass increases, and has shortness of breath, nausea, vomiting, in 1977 7 Month 5 surgical exploration, postoperative diagnosis of right kidney tumors, left kidney congenital defects. 2 weeks after the disease aggravated, blood pressure 170/110 mm Hg, systemic edema, ascites increased, vomiting, fever, shortness of breath, 9 days no urine transferred to our hospital. Check: body temperature 37.5 ℃, pulse 120 beats / min, blood pressure 170/114 mm Hg, body edema, anemia, tonsil enlargement, no abnormal heart and lung. Abdominal bulge, liver and spleen not touched, the left can reach the big fist,