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患者男性,岁,4周前因膀胱癌行膀胱全切和双侧输尿管皮肤造口术,术后双侧输尿管留置单J管引流尿液。2天前出现发热,双侧腰痛等症,且引流尿液减少,尿色混浊。查体:体温39.8℃,脉率92次/分,呼吸24次/分,血压134/74mmHg(1mmHg=0.133kPa),急性痛苦面容,心肺无异常,双侧肾区触痛叩击痛,下腹正中切口愈合好,无红肿,无压痛。血常规:白细胞17.3×109/L,血红蛋白125g/L。尿常规:尿蛋白(+),亚硝酸盐(++),白细胞满视野,红细胞15~20个/HP。血生化:肌酐695.4μmol/L,尿素氮18.6mmol/L,钾5.8mmol/L,碳酸氢根离子17.0mmol/L。
该患者的初步诊断为()。
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