患者,男性,56岁,因“畏寒、发热、尿痛3d”入院。患者3d前始感畏寒、发热,体温最高达39.0℃,已于外院应用抗生素治疗2d,症状无明显好转。有糖尿病史3年。查体:T38.9℃,双肾区无叩痛,膀胱区无压痛,尿道外口无红肿。直肠指检:前列腺Ⅱ°大小,中央沟消失,质硬,右侧叶表面触及约2.0 Patient, male, 56 years old, admitted to hospital for “chills, fever, dysuria 3d”. Patients before the start of the first three chills, fever, body temperature up to 39.0 ℃, antibiotics have been used in the hospital 2d, no significant improvement in symptoms. Have a history of diabetes for 3 years. Physical examination: T38.9 ℃, no percussion pain in the kidneys area, no tenderness in the bladder area, no swelling outside the urethral orifice. Rectal examination: prostate Ⅱ ° size, disappearance of the central ditch, hard, the right leaf surface touched about 2.0