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例1:男,17岁。因着凉发烧、咽痛、膝关节痛半月,疑风湿性关节炎,服炎痛喜康,20毫克每日一次,至第三天发现无痛性全程血尿。尿蛋白+,白细胞2~3,红细胞++++。检查:体温36.4℃,血压110/70毫米汞柱。咽充血,心肺无异常,肝脾不大,下肢无浮肿。入院后予青、链霉素及脱敏等治疗,两天后尿色变浅,四天后尿常规正常,诊断药物性血尿。例2:男,34岁。患风湿性关节炎多年,服炎痛喜康20毫克/日,至第三天(总量60毫克)发现无痛性全程血尿。停药后次日晨肉眼血尿消失。以上两例经随访未再发现血尿或尿常规异常。
Example 1: Male, 17 years old. Because of the cold fever, sore throat, knee pain half a month, suspected rheumatoid arthritis, Yan Yan pain, 20 mg once daily until the third day found painless hematuria. Urinary protein +, white blood cells 2 to 3, red blood cells ++++. Check: body temperature 36.4 ℃, blood pressure 110/70 mm Hg. Pharyngeal congestion, no abnormal heart and lung, liver and spleen is not large, lower extremity no edema. After admission to the green, streptomycin and desensitization and other treatment, two days later urine color lighter, urine routine four days after the normal diagnosis of drug-induced hematuria. Example 2: Male, 34 years old. Rheumatoid arthritis for many years, serving Yan Tong Kang 20 mg / day, to the third day (total 60 mg) found that painless hematuria. The next morning after stopping the naked eye hematuria disappeared. More than two cases were no longer found after follow-up hematuria or urine abnormalities.