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患者女,35岁。因腰部轻度不适,静脉肾盂造影提示左肾不显影无功于1992年6月收入我科。入科后再行大剂量延缓性静脉肾盂造影(IVP),仍不显影,后经B超检查提示左肾重度积水,积水量约1000—1500ml,肾基本呈球形,输尿管基本上全段扩张,内径约1.5—2.0cm。当即在B超下行患肾穿刺造影,影片提示:肾呈不规则性球型,输尿管中上段扩张,下段近膀胱处呈椎形中断。诊断为输尿管完全梗阻,原因待查。即行手术探查。患者近10年来,体质渐差,经常感冒,多汗,怕冷,甚至夏天还衣着毛衣和外加罩衣。曾经多种中西医结合治疗,口服中药上仟服,无效。追问病史仅于1980年做过剖腹产手术,术中大出血,此术后身体一直虚弱。本次入院手术
Female patient, 35 years old. Due to mild lumbar discomfort, intravenous pyelography prompted the left kidney does not develop reactive in June 1992 income in our department. Into the department and then large-dose delayed intravenous pyelography (IVP), still undeveloped, after B-ultrasound showed severe left hydronephrosis, water volume of about 1000-1500ml, the basic spherical kidney, ureter basically the whole segment Expansion, diameter about 1.5-2.0cm. Immediately in the B-line renal biopsy, the film prompted: irregular kidney was spherical, the upper ureteral dilatation, the next segment of the vertebral near the bladder was interrupted. Diagnosis of complete ureteral obstruction, to be investigated. Surgical exploration. Over the past 10 years, the physique gradually became worse and worse. He often got cold, sweating and cold, and even he wears sweaters and suits in the summer. A variety of traditional Chinese and Western medicine treatment, oral medicine on the service, invalid. History of the history of caesarean section in 1980 only to do surgery, intraoperative bleeding, the body has been weak after surgery. The admission operation