以肾绞痛为首发症状的肾结核临床罕见,现将我院收治的1例报告如下。病例报告　患者男,42岁。于1992年8月20日因左腰剧痛并向左中、下腹部放射伴恶心呕吐1小时就诊。查体:体温36.7℃,脉搏78次/分,呼吸18次/分,血压15/10kPa,精神较疲倦,痛苦面容,发育正常,营养一般,自动体位,心肺 Renal tuberculosis as the first symptom of renal tuberculosis clinically rare, now admitted to our hospital in 1 case reported as follows. Case report Male patient, 42 years old. On August 20, 1992 due to pain in the left lobe and to the left, lower abdomen radiotherapy with nausea and vomiting for 1 hour treatment. Physical examination: body temperature 36.7 ℃, pulse 78 beats / min, breathing 18 beats / min, blood pressure 15 / 10kPa, more tired, painful face, normal development, general nutrition, automatic position, cardiopulmonary