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病例:女,1周岁。因尿频伴间歇性血尿、脓尿8个月入院。患儿4个月时出现尿频,终末尿色呈洗肉水样,曾在当地医院按“慢性尿路感染”治疗,症状有缓解。每月均有类似发作,且伴有尿急,尿痛、发热,有时尿液中出现白色脓液,并有尿滴现象。近日上述症状加重并发热,转我院治疗,患儿系足月顺产,初生体重3.6kg,系混合喂养(母乳+米粥),12月断奶,现为普食。否认有结核病接触史。查体:T37.8,R26,P136,BP14/7kPa,神志清。发育正常,营养欠佳。心肺未见异常。腹平软,未扪及腹块,肝脾肋下未及,双肾区叩击痛(一),耻骨上区无压痛,外生殖器发育正常,尿道口红。双下肢无水肿。神经
Case: Female, 1 year old. Due to frequent urination with intermittent hematuria, pyuria 8 months admitted. Children with urinary frequency at 4 months, the final urine was washed with water samples, had a local hospital according to “chronic urinary tract infection” treatment, symptoms are relieved. Each month has a similar attack, and accompanied by urgency, dysuria, fever, and sometimes white urine in urine, and there is a drop of urine. Recently the above symptoms and fever, transferred to our hospital for treatment, children with full-term birth, the birth weight 3.6kg, Department of mixed feeding (breast milk + rice porridge), December weaning, is now common food. Denied the history of exposure to TB. Physical examination: T37.8, R26, P136, BP14 / 7kPa, mind clear. Normal development, poor nutrition. Heart and lung no abnormalities. Belly flat, palpable abdominal mass, liver and spleen and ribs, and perineal area percussion pain (a), suprapubic area without tenderness, external genital development, urethral lipstick. No lower extremity edema. nerve