论文部分内容阅读
患者男,60岁,住院号90966。于1979年5月15日主诉腰痛,尿痛、尿频、尿急伴血尿两个月,以“肾盂肾炎”之诊断入院。曾多次尿检查:蛋白(+)～(++)、红细胞0—7,白细胞10～20,脓球(+)～(+++)。经按“肾盂肾炎”抗炎治疗未见好转。患者1964年曾经患过肾盂肾炎。查体:体温36.1℃,血压160/80毫米汞柱,脉搏78次/分,慢性病容,消瘦,心肺正常。左肾区有触痛和叩打痛。实验室检查:白细胞7200,分叶56%,淋巴37%,单核2%、杆状1%,酸性4%。尿呈混浊,蛋白(++),红细胞3～5,白细胞20以上,脓球(+++)。入院后行中西医结合抗炎治疗。于9月初查体
Male patient, 60 years old, hospital number 90966. On May 15, 1979, she complained of low back pain, dysuria, urinary frequency, and urinary urgency with hematuria for two months. He was admitted to the hospital with the diagnosis of “pyelonephritis.” Urine examinations have been repeated: protein (+) ~ (++), red blood cells 0-7, white blood cells 10-20, pus (+) ~ (+++). The anti-inflammatory treatment according to “pyelonephritis” has not improved. The patient had had pyelonephritis in 1964. Physical examination: body temperature 36.1°C, blood pressure 160/80 mmHg, pulse 78 beats/minute, chronic disease, weight loss, normal heart and lung. The left kidney area has tenderness and beating pain. Laboratory tests: WBC 7200, leaf 56%, lymph 37%, mononuclear 2%, rod 1%, acid 4%. Urinary turbidity, protein (++), red blood cells 3 to 5, white blood cells above 20, pus ball (+++). After admission, Chinese and Western medicine combined with anti-inflammatory treatment. At the beginning of September