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患者男,56岁。因患缺血性脑血管病行体外反搏治疗,3次反搏均见肉眼血尿。尿常规:蛋白十,白细胞卅,脓细胞卅。前列腺液脓细胞卌。尿素氮23mg％,血沉、血常规、肝功、碱性磷酸酶、酸性磷酸酶均正常。B超提示膀胱壁囊肿。后经X线摄片提示膀胱结石。膀胱镜检查见膀胱内2块结石分别为7cm×7cm×7cm及5cm×4cm×1.5cm,控制感染后行耻骨联合上膀胱切开取石术,术中发现结石嵌顿于两输尿管口之间的膀胱三角后窝与膀胱前壁之间,膀胱粘膜充血,粗糙,明显增厚,取出2块结石,重573g,呈灰白色。
Male patient, 56 years old. Due to ischemic cerebrovascular disease in vitro pacing therapy, 3 times counterpulsation were gross hematuria. Urine routine: protein ten, leukopenia, pterygium 卅. Prostatic pus 卌. Urea nitrogen 23mg%, ESR, blood, liver function, alkaline phosphatase, acid phosphatase were normal. B-Tip bladder wall cyst. After X-ray film prompted bladder stones. Cystoscopy see the bladder 2 stones were 7cm × 7cm × 7cm and 5cm × 4cm × 1.5cm, control of infection after the pubic symphysis on the cesarean section, intraoperative findings of stone incarcerated between the two ureteral orifice Bladder triangle posterior fossa and the anterior wall of the bladder, bladder mucosa congestion, rough, significantly thickening, remove the two stones, weighing 573g, was gray.