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例1.男,6岁,维吾尔族。低热、尿痛、尿频、腰痛3年余。曾多次就医,诊断为肾盂肾,给予多种抗菌药物治疗,症状时轻时重。近3月来再次加重,于1987年3月13日入院。查体:体温37.8℃,脉搏100次/分。痛苦表情,中下腹有压痛,双肾区压痛叩痛明显。血常规:血红蛋白100g/L,白细胞29.9×10~9/L,N92%,L8%。尿蛋白(+),红细胞0～5/HP,白细胞8～12/HP。血清钙2.25mmol/L,NPN27.8mmol/L。腹部平片:左肾区及右侧输尿管行走区内显示多数(5枚)边缘清晰、呈分层状之圆形、三角形密度增高影;静脉肾盂造影:双侧肾盂、输尿管及膀胱未显影。最后诊断:双侧多发性肾盂、输尿管结石。
Example 1. Male, 6 years old, Uighur. Low fever, dysuria, frequent urination, back pain more than 3 years. Has repeatedly medical treatment, diagnosis of renal pelvis and kidney, given a variety of antimicrobial drugs, symptoms when light weight. In the past three months to increase again, in March 13, 1987 admission. Physical examination: body temperature 37.8 ℃, pulse 100 beats / min. Painful expression, tenderness in the lower abdomen, kidney pain tenderness percussion was obvious. Blood: hemoglobin 100g / L, white blood cells 29.9 × 10 ~ 9 / L, N92%, L8%. Urine protein (+), red blood cells 0 ~ 5 / HP, white blood cells 8 ~ 12 / HP. Serum calcium 2.25mmol / L, NPN27.8mmol / L. Abdominal plain film: left kidney area and the right ureter walking area showed the majority of (5) edge clear, was layered round, triangle density increased shadow; intravenous pyelography: bilateral renal pelvis, ureter and bladder undeveloped. The final diagnosis: bilateral multiple renal pelvis, ureteral stones.