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患者,女,36岁。右腰部持续性胀痛,牵涉至右上腹2年,于1996年9月22日入院。患病以来,无血尿,脓尿及外伤史。近半年来出现上腹饱胀感、呃气、恶心。曾以“胃病”治疗无效。体格检查,右肾肿大至锁骨中线肋缘下12cm,表面光滑,有囊性感,叩音浊,不活动,轻度压痛,叩痛阳性。B超示右肾上极一巨大囊性肿物,与肝、右肾界限不清。静脉肾盂造影示右肾影增大,肾上盏消失,中盏受压变形,其上极一巨大占位并压迫肾实质,使占位与肾实质间形成一弧形压迹,肾功能
Patient, female, 36 years old. Continuous pain in the right lumbar spine, involving the right upper quadrant for 2 years, was admitted on September 22, 1996. Since the illness, no hematuria, pyuria and trauma history. Over the past six months, a sense of fullness on the abdomen, uh gas, nausea. Had “stomach” treatment ineffective. Physical examination, right kidney enlargement to the midline of the clavicle under the rib margin 12cm, smooth surface, a cystic sexy, percussion sound turbidity, inactive, mild tenderness, percussion pain positive. B ultrasound showed a huge cystic mass on the right kidney, and the liver, right kidney ill-defined. Intravenous pyelography showed right kidney shadow increases, the disappearance of the upper calyx in the light pressure deformation, the pole a huge place and oppression of the renal parenchyma, so that the space and the formation of an arcuate between the renal parenchymal indentation, renal function