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患者,女,55岁。因肉眼血尿1周入院。体检:体温36.8℃,脉膊86次/分,呼吸20次/分,血压16/10kPa。心、肺、腹部检查未见异常。实验室检查:血及大便常规正常,尿常规:肉眼血尿,镜下红细胞(++++)。入院后初诊:①泌尿道结石?②尿路感染?入院次日查B超显示:双肾轮廓清晰,大小正常,肾实质回声均匀,集合系统无分离。膀胱充盈良好,内壁光滑。X线肾及输尿管造影检查,双肾及输尿管显影无异常。患者无明显泌尿道感染症状,初诊不成立。经再次详细询问病史,患者近两个月来因左膝关节疼痛,一直服用双氯灭痛进行治疗,并无
Patient, female, 55 years old. Due to gross hematuria 1 week admission. Physical examination: body temperature 36.8 ℃, pulse 86 beats / min, breathing 20 beats / min, blood pressure 16 / 10kPa. Heart, lung, abdominal examination showed no abnormalities. Laboratory tests: blood and stool routine normal urine routine: gross hematuria, microscopic erythrocytes (++++). Admission after admission: ① urinary tract stones? ② urinary tract infection? Check the next day admission B ultrasound shows: clear outline of the kidneys, normal size, renal parenchyma echo uniform collection system without separation. Bladder filling well, smooth inner wall. X-ray renal and ureterography, renal and ureteroscopic no abnormalities. No symptoms of urinary tract infection in patients with newly diagnosed. After detailed history again, the patient had pain in the left knee for the past two months and had been treated with diclofenac.