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臨床病理討論會:不明原因的腎衰竭

Clinicopathological Conference: Renal Failure of Unknown Cause

摘要


一位70歲有高血壓及心房顫動的女性病人,因肉眼可見的無痛性血尿發現有膀胱癌、水腎,及輕度腎功能異常。病人接受經尿道膀胱腫瘤切除術、雙J導管置放及mitomycin膀胱內灌流化療,病人反而出現水腫及腎功能持續惡化到尿毒症。為了瞭解此一不明原因的腎衰竭,病人住院做進一步的檢查。

並列摘要


A 70-year-old woman had a past history of hypertension and atrial fibrillation. She was found to have bladder cancer, hydronephrosis, and mild renal failure because of intermittent painless gross hematuria. She received transurethral resection of bladder tumor, double J stent insertion, and mitomycin intravesical chemotherapy. However, she developed edema and progressive renal failure of unknown cause. She was admitted for further examinations.

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