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例1 男,22岁,因高血压4年、血尿伴右腰部酸胀于1985年5月31日入院。4年前患者无意中发现高血压,在内科门诊给予一般治疗。1984年10月因头昏头痛、高血压作静脉尿路造影,发现右肾及输尿管上段积水。体检:血压160/95,心尖区Ⅱ级收缩期杂音,腹部未闻血管杂音。双肾未触及,右肾区叩击痛,肾功能在常。肾图右侧梗阻曲线,左侧正常。尿常规:白细胞+,红细胞+++。入院后给予右侧尿路逆行造影;输尿管导管插入15cm受阻。造影见右肾、输尿管上段积水,输尿管自L_(3_5)水平向中线移位。1985年6月20日行右肾输尿管探查术。术中见
Example 1 Male, 22 years old, due to hypertension for 4 years, hematuria with right lower soreness was admitted on May 31, 1985. 4 years ago, the patient inadvertently found high blood pressure, general medical treatment in the clinic. 1984 October due to dizziness headache, hypertension for intravenous urography, found in the right kidney and ureteral water. Physical examination: blood pressure 160/95, apical Ⅱ grade systolic murmur, abdominal unhealthy vascular murmur. Kidney not touched, right kidney area percussion pain, renal function often. Right renal obstruction curve, left normal. Urine routine: white blood cells +, red blood cells +++. After admission to the right urinary tract retrograde angiography; ureteral catheterization 15cm blocked. Angiography see the right kidney, upper ureteral water, ureteral L_ (3_5) level shift to the midline. June 20, 1985 Right kidney ureter exploration. See you in surgery