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患者,男,55岁。因反复无痛性肉眼血尿3月余入院。3月前无明显诱因出现无痛性全程肉眼血尿,在当地医院治疗(用药不详),症状未见好转。1月前曾在外院作膀胱镜检查拟诊为“膀胱癌”,后转来我院。体检:膀胱区未触及包块,无触压痛。实验室检查:尿常规红细胞(卌)。B超:膀胱前壁显著增厚,范围广泛,3cm×8cm大,考虑为膀胱癌。于住院第8天在硬膜外麻醉下行膀胱肿物切除术。手术所见;膀胱前壁偏左见一灰白色5cm×4cm×3cm大肿物,表面不光
Patient, male, 55 years old. Due to repeated painless hematuria more than 3 months admitted to hospital. 3 months ago no obvious incentive to appear painless whole eye hematuria, treatment in the local hospital (medication unknown), the symptoms did not improve. 1 month ago in the hospital for cystoscopy to be diagnosed as “bladder cancer”, then transferred to our hospital. Physical examination: the bladder area did not touch the mass, no tenderness. Laboratory tests: urine routine erythrocytes (卌). B super: significant anterior thickening of the bladder wall, a wide range of 3cm × 8cm large, consider bladder cancer. Bladder tumor resection was performed on epidural anesthesia on the eighth day of hospitalization. Surgical findings; anterior bladder wall to see an off-white 5cm × 4cm × 3cm large tumor, the surface is not only