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患者女性,39岁,因无痛性血尿入院,拟诊为膀胱癌。1月前突然出现全程无痛性血尿,无明显伴随症状,经对症治疗处理3天后,肉眼血尿渐停,继之出现尿痛、尿频、尿急,经多次抗尿路感染治疗无效。实验室检查:尿蛋白(+),红、白细胞10～20只。12小时尿沉渣找抗酸杆菌3次均阴性。静脉肾盂造影示右输尿管下段狭窄,膀胱内有不规则充盈缺损,拟
A 39-year-old female patient admitted to hospital with painless hematuria was diagnosed with bladder cancer. 1 month ago suddenly appeared throughout the painless hematuria, no obvious accompanying symptoms, after 3 days of symptomatic treatment, the gross hematuria gradually stopped, followed by dysuria, frequent urination, urgency, after repeated anti-urinary tract infection treatment ineffective. Laboratory tests: urinary protein (+), red and white blood cells 10 to 20 only. 12 hours urinary sediment looking for acid-fast bacilli 3 times were negative. Intravenous pyelography showed lower right ureteral stenosis, irregular filling of the bladder defect, to be