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病例介绍患者男性,39岁。因左上腹痛,恶性高血压和蛋白尿入院。患者在左上腹痛急性发作前27天里,身体一直相当健康。患者先在另一家医院就诊,胸部 X 线片报告正常,疼痛持续3小时后缓解出院。5天后,左上腹剧痛再发,呈“刀割样”,并稍向左中腹放射,伴恶心、呕吐。患者再次入原先的那家医院。静脉尿路造影检查,显示左肾排泌延迟,但无输尿管扩张。腹部 CT 扫描显示左肾呈轻度非均质
Case description Male patient, 39 years old. Left upper quadrant pain, high blood pressure and proteinuria hospitalized. The patient had been in good health for 27 days before the acute episode of the left upper quadrant. Patients first visited another hospital, chest X-ray reports were normal, pain relief for 3 hours after discharge. Five days later, the left upper quadrant pain recurrence, was “knife-like” and slightly to the left abdomen, with nausea and vomiting. The patient re-entered the original hospital. Intravenous urography showed delayed left renal excretion but no ureteral dilatation. Abdominal CT scans showed mild left-kidney heterogeneity