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患儿,男,10岁,因反复尿频、尿急、尿痛5年伴发热加重1月入院。病初末段小便为白色,后期全程尿似米汤样、奇臭,伴发热,体温波动在37°4～38°9℃,曾两次在当地医院和我院治疗,诊断为尿路感染,经抗感染治疗好转出院。出院后病情反复发作。去年8月尿频加重,昼夜尿淋漓,出现脐以下持续性隐痛,来我院就诊,以尿路感染、肠蛔虫、肾病收入院。既往体健,体检T 38°3℃,R 24次/分,P120次/分,体重15kg,身高105cm。消瘦,神萎,痛苦面容,咽红,颈软,心肺正常,腹软,下腹部明显压痛,余未见异常。RBC3.2×10~(12)/
Children, male, 10 years old, due to repeated urinary frequency, urgency, dysuria 5 years with fever increased admission in January. During the early stage of the disease, the urine was white, and the whole urine-like rice soup in the later period was stinky with fever. The body temperature fluctuated between 37 ° 4 ~ 38 ° 9 ° C and was twice treated in a local hospital and a hospital for diagnosis of urinary tract infection. Anti-infective treatment improved discharged. Recurrent illness after discharge. Urine frequency increased in August last year, day and night urine dripping, appeared persistent umbilical pain, to our hospital, urinary tract infection, intestinal roundworm, nephropathy income hospital. Past physical health, physical examination T 38 ° 3 ℃, R 24 times / min, P120 beats / min, weight 15kg, height 105cm. Thin, wilted, painful face, throat, soft neck, normal cardiopulmonary, abdominal soft, tenderness under the abdomen, I did not see abnormalities. RBC3.2 × 10-12 /