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患者男,30岁。因右腰痛,伴恶心、呕吐,低热40~+天入院。查体:右腰部膨隆,肿物上达肋缘、下至盆腔。表面光滑,囊性感,有轻度叩击痛。肝脾未触及。尿常规(-),血常规未见异常。ESR70mm/h。胸片示右胸腔积液。KUB于右侧第四腰椎旁可见1.2cm之阳性结石影,IUP左肾正常,右肾不显影,Rp插管至右侧输球管15cm处受阻,注射造影剂不能通过。B超示右肾巨大积水,CT示后腹膜巨大肿物。遂于1987年12月14日在连续硬膜外麻醉下经12
Male patient, 30 years old. Due to right lower back pain, with nausea, vomiting, fever 40 ~ + day admission. Physical examination: the right lumbar bulge, the tumor reached the rib margin, down to the pelvis. Smooth surface, cystic sexy, mild percussion pain. Liver and spleen not touched. Urine routine (-), no abnormal blood routine. ESR70mm / h. Chest radiograph showed right pleural effusion. KUB in the right side of the fourth lumbar paravertebral visible 1.2cm of the positive shadow, IUP left kidney normal, right kidney does not develop, Rp intubation to the right tube 15cm blocked, injection of contrast agent can not pass. B ultrasound showed a huge hydronephrosis, CT showed a huge peritoneal tumor. Then in December 14, 1987 under continuous epidural anesthesia by 12