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患儿女,6岁2个月。因肉眼血尿10灭天伴上腹疼痛5天,于1985年9月29日入院。患儿同年6月初曾肉眼血尿,持续5天。9月中旬无明显诱因突然再次肉限血尿伴左上腹及脐周阵发性疼痛、恶心、呕吐10余次/日,面色苍白,故就诊。入院查体:发育尚可,呈贫血貌,血压100/60mmHg,心肺听诊无异常。腹软,左上腹外侧部可扪及约5×7cm包块,质略硬,触痛。肝脾不肿大。肠鸣音正常。四肢无畸形。实验室检查:
Children, 6 years and 2 months. Due to gross hematuria 10 days off with abdominal pain for 5 days, in September 29, 1985 admission. Children in early June the same year had gross hematuria, lasted 5 days. In mid-September there was no obvious incentive Suddenly again restricted blood and urine with paroxysmal left upper quadrant and umbilical pain, nausea, vomiting more than 10 times / day, pale, so the treatment. Admission examination: Development is acceptable, was anemic appearance, blood pressure 100 / 60mmHg, cardiopulmonary auscultation no abnormalities. Abdominal soft, left lateral ventral palpable about 5 × 7cm mass, a little hard, tenderness. Liver and spleen not swollen. Bowel sounds normal. No limb deformities. Laboratory examination: