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患者,女,64岁。主诉血尿一个月,血尿为无痛间歇性全血尿,用抗生素和止血剂治疗无效,于1983年11月2日入院。检查:血压160/120mmHg,脉搏98次。浅在淋巴结不肿大。心脏向左侧扩大,主动脉区心音亢进。腹部触不到肿物,肾区及膀胱区无叩压痛。血红蛋白10g/dl。膀胱镜检查发现在膀胱顶部有一个约3×3cm 的乳头状肿物,表面有出血及坏死,无绒毛,基底有蒂。静脉尿路造影及胸片未见异常。
Patient, female, 64 years old. The main complaint of hematuria a month, hematuria painless intermittent hematuria, with antibiotics and hemostatic agents ineffective, on November 2, 1983 admission. Check: blood pressure 160 / 120mmHg, pulse 98 times. Shallow lymph nodes are not enlarged. Enlargement of the heart to the left, aortic heart sound hyperthyroidism. Abdominal touches the tumor, kidney and bladder area without knocking tenderness. Hemoglobin 10g / dl. Cystoscopy revealed a 3x3 cm papillary mass on the top of the bladder with bleeding and necrosis on the surface, a lush, base pedunculated. Intravenous urography and chest X-ray showed no abnormalities.