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患者,男,28岁。因服用复方新诺明5日后。出现肉眼血尿、尿频、尿急、尿痛、排尿困难、下腹部胀痛,间断性血块尿。排出血块后症状部分缓解。无发热,无放射性疼痛半个月于1990年4月来院,否认结核病史,体格检查:T36.6℃,Bp16.0/10.0kPa。一般情况良好,心肺无异常,下腹部饱满,膀胱区压痛,叩诊浊音,双下肢无浮肿。实验室检查:血沉5mm/h,血常规:WBC 4.8 ×10~9/L,分叶0.70,嗜酸细胞0.3,尿素氮6.0mmol/L。尿常规:红细胞50个/HP,尿蛋白(++),白细胞20个/HP。内生肌酐清除率正常。淋球菌阴性。抗酸杆菌阴性。静脉肾盂造影:双肾输尿管显影正常,膀胱
Patient, male, 28 years old. Because of taking cotrimoxazole 5 days later. Occurrence of gross hematuria, frequent urination, urgency, dysuria, dysuria, abdominal pain, intermittent blood clots. Symptoms were partially relieved after discharge from the blood clot. No fever, no radiation pain for half a month to hospital in April 1990, denied a history of tuberculosis, physical examination: T36.6 ℃, Bp16.0 / 10.0kPa. Generally good, no abnormal heart and lung, lower abdomen full, tenderness in the bladder area, percussion dullness, no swelling of both lower extremities. Laboratory tests: ESR 5 mm / h, blood: WBC 4.8 × 10 ~ 9 / L, leaf 0.70, 0.3 eosinophils, urea nitrogen 6.0mmol / L. Urine routine: 50 red blood cells / HP, urinary protein (++), white blood cells 20 / HP. Endogenous creatinine clearance was normal. Neisseria gonorrhoeae negative. Acid-fast bacillus negative. Intravenous pyelography: normal renal tubular imaging, bladder