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[病例] 男性,20岁。因排尿不畅20年而入院。6年前曾出现血尿3天,伴排尿困难、恶心、食欲减低,经留置尿管、抗感染等治疗好转。一年前上述症状又加重,诊断为双肾盂积水、尿毒症,经对症治疗好转出院。10日前排尿困难加重,偶有排尿中断,两侧腰部胀痛,伴发烧、恶心、呕吐、食欲降低。体格检查:T38℃,P100次/分,Bp14.7/9.33kPa。双肾可触及边缘,囊性感,轻度压痛,双肾区有叩击痛。阴部感觉正常。余正常。化验:BUN37.8mmcl/L,CO_2CP7.5mmol/L,尿常规:蛋白(+),RBC3～6,
[Case] Male, 20 years old. Due to poor urination 20 years and admitted to hospital. 6 years ago there hematuria for 3 days, with dysuria, nausea, loss of appetite, after indwelling catheter, anti-infection and other treatment improved. A year ago, the above symptoms were aggravated, diagnosis of hydronephrosis, uremia, symptomatic treatment improved discharged. 10 days ago dysuria increased, intermittent urination interrupted, both sides of the waist pain, with fever, nausea, vomiting, loss of appetite. Physical examination: T38 ℃, P100 beats / min, Bp14.7 / 9.33kPa. Kidney can reach the edge, cystic sexy, mild tenderness, perineal area percussion pain. Genitals feel normal. More than normal. Laboratory: BUN37.8mmcl / L, CO_2CP7.5mmol / L, urine: protein (+), RBC3 ~ 6,