论文部分内容阅读
病儿女,4岁。因反复尿频、尿急,“米汤样”尿10个月入院。入院前曾疑为“肾结核”、“肾盂肾炎”等,经治无效。同位素肾图:右肾分泌功能正常,左肾功能重度损害。IVP 示:右侧肾及输尿管正常。左侧肾、输尿管50分钟内未显影。膀胱充填不匀。查体:BP10.7/6.67kPa。消瘦,发育差。心肺(-)。左侧腹隐约扪及软性条状包块。尿常规:尿黄,浑浊,酸性,蛋白(+);镜检 WBC10～20/HP,RBC0-4/HP,脓球20
Sick child, 4 years old. Due to repeated urinary frequency, urgency, “rice-like” urine 10 months admitted to hospital. Before admission, suspected “kidney tuberculosis”, “pyelonephritis”, etc., by the rule is invalid. Isotope nephrogram: Right renal secretion is normal, severe left renal dysfunction. IVP shows: Right kidney and ureter normal. Left kidney, ureter within 50 minutes did not develop. Uneven bladder filling. Physical examination: BP10.7 / 6.67kPa. Weight loss, poor development. Cardiopulmonary (-). The left abdomen palpable soft strip mass. Urine: urine yellow, turbid, acidic, protein (+); microscopy WBC10 ~ 20 / HP, RBC0-4 / HP, pus ball 20