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患者男性,58岁。间歇性排尿困难、尿痛3年,近5天采症状加重,尿呈点滴状、伴下腹胀大、疼痛难忍入院。体查:痛苦面容,体温、脉博、血压正常,心肺无异常。腹肌紧张、膀胱区隆起,压痛明显。实验室检查:血常规正常,尿常规,黄色微浊,蛋白(一)、镜检,白细胞(+),红细胞4～6。盆腔X线正位平片:盆腔区相当于第5骶椎右旁有数个(约9个)聚集成团致密影,最大3mm×8mm,枣核状,小者绿豆大,边缘不规则,X线诊断多发性膀胱结石。
Male patient, 58 years old. Intermittent dysuria, dysuria 3 years, mining the last 5 days increased symptoms, urine was dripping, accompanied by abdominal distension, pain unbearable admission. Physical examination: painful face, body temperature, pulse, blood pressure, no abnormal heart and lung. Abdominal tension, bulging bladder area, tenderness significantly. Laboratory tests: normal blood, urine, yellow turbidity, protein (a), microscopic examination, white blood cells (+), red blood cells 4 to 6. Pelvic X-ray orthopnea: pelvic area is equivalent to the right side of the 5th sacral right several (about 9) gathered into a group of dense shadow, the largest 3mm × 8mm, jujube core, the smaller the green beans, the edge of the irregular, X Line diagnosis of multiple bladder stones.