论文部分内容阅读
患者女,62岁,间歇性肉眼血尿1年,1981年2月24日因大量血尿伴血块急诊入院,无明显疼痛及尿频史。体检:一般情况较差,仅耻骨上偏右有深压痛,未扪到明显包块。化验:血红蛋白4.5克％,红细胞132万,白细胞8,600,中性37％。KUB平片无异常发现。拟诊膀胱癌大出血给予止血药物及多次输血治疗,治疗期间因出血,血压曾一度下降至50/40毫米汞柱。入院后第7天于耻骨上偏右可扪及拳大包块,压痛。膀胱镜检因膀胱内
Female, 62 years old, intermittent gross hematuria for 1 year, February 24, 1981 due to massive hematuria with blood clot emergency admission, no obvious pain and history of urinary frequency. Physical examination: the general situation is poor, only the suprapubic right partial deep tenderness, palpable palpable mass. Laboratory tests: 4.5 grams of hemoglobin, red blood cells 1.32 million, white blood cells 8,600, 37% neutral. KUB flat no abnormalities found. Bladder cancer suspected bleeding given hemostatic drugs and multiple transfusion therapy, bleeding during treatment, blood pressure dropped to 50/40 mm Hg once. 7 days after admission on the pubic side of the right palpable and large boxing block, tenderness. Cystoscopy due to the bladder