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患者男,50岁,1982年6月1日入院。主诉转移性右下腹痛14小时,诊断急性阑尾炎。入院后当即施行阑尾切除术,切除长12cm,直径1.5cm,与盆腔壁粘连紧密的坏疽阑尾。术后18小时无尿,右肾区明显叩痛,血尿素氮37mg%,肌酐5.6mg%,CO_2 CP_(29)Vol%、经补液纠酸、利尿剂治疗仍无尿。尿路X 线平片无结石影。膀胱镜检:膀胱内无尿,不见左输尿管开口,右侧开口充血水肿,导管只能插进5cm。B超、同位素肾图、肾扫描均提示右侧孤立肾;肾盂积
Male patient, 50 years old, admitted to hospital on June 1, 1982. The main complaint of metastatic right lower abdominal pain 14 hours, the diagnosis of acute appendicitis. Admission immediately after the implementation of appendectomy, resection of 12cm in length, diameter 1.5cm, and pelvic wall adhesion gangrene appendix. 18 hours after operation, there was no urine in the right kidney area, and the right renal area was obviously knocked. The blood urea nitrogen 37mg%, creatinine 5.6mg%, CO_2 CP 29 Vol%, and the diuretic was still without urine. Urinary tract plain film without stones shadow. Cystoscopy: no urinary bladder, no left ureteral orifice, the right opening congestion and edema, the catheter can only be inserted 5cm. B ultrasound, isotope nephrogram, renal scans were prompted on the right isolated kidney; renal pelvis