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患者女性,54岁,己婚。因间歇连无痛性肉眼血尿10个月。大量血尿三天入院。检查:T38.3℃,P124次/分,R24次/分,Bp90/70mmHg。面色苍白,心肺正常,肝脾不大。两肾、输尿管及膀胱区无压痛,未触及包块。阴道双合诊未触及包块。在检查过程中病人无不适感。血常规:Hb4.5g%,RBC200万,WBC12,600 N84%,L16%。尿常规:肉眼血尿,WBC(++)。入院后立即行膀胱镜检查,因大量血尿及血块未能观察清楚。在膀胱镜检查过程中,多次测病人血压均在正常范围。经抗感染、止血、输血等治疗两周后,再次行膀胱镜检查,发现
Female patient, 54 years old, married. Due to intermittent and even painless gross hematuria 10 months. A large number of hematuria admitted three days. Check: T38.3 ℃, P124 times / min, R24 times / min, Bp90 / 70mmHg. Pale pale, normal heart and lungs, liver and spleen is not. Two kidneys, ureter and bladder area without tenderness, did not touch the mass. Vaginal double consultation did not touch the mass. In the process of examination of patients with no discomfort. Blood: Hb4.5g%, RBC200 million, WBC12,600 N84%, L16%. Urine routine: gross hematuria, WBC (++). Cystoscopy immediately after admission, due to a large number of hematuria and blood clots failed to observe clearly. Cystoscopy in the process of testing the patient’s blood pressure were in the normal range. Anti-infection, bleeding, blood transfusions and other treatment two weeks later, cystoscopy again and found