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在我国男飞行人员中,反复发作的泌尿系感染较少见。现介绍二例因膀胱输尿管逆流所致的复发性泌尿系感染。 例1:男性,47岁,于76年初突然出现尿频、尿急、尿痛。伴高热及右腰部痛,尿检红、白细胞满视野。治疗后好转。78年发现血压高。肾图示右肾分泌排泄功能延缓,于79年8月7日来我院。查体:血压130/80mmHg,双脊肋角无压痛、叩击痛,尿检白细胞5—10个,尿培养有粪链球菌生长。静脉肾盂造影示右肾缩小,其形态密度正常,左肾代偿性增大。膀胱镜检,右输尿管开口形态正常,右侧逆行肾盂造影,见右输尿管下端呈葫芦状扩张。排尿期膀胱造影,提示右输尿管逆流,并进入肾盂肾盏,右输尿管中下段明显扩张,左侧亦逆流输尿管7cm,后口服抗菌素,尿转阴而出院。
Male flight officers in our country, recurrent urinary tract infections are rare. Now introduce two cases of recurrent urinary tract infection due to vesicoureteral reflux. Example 1: Male, 47 years old, early in 76, frequent urination, urgency, dysuria. With high fever and right lower back pain, urine red, full of white blood cells. After treatment improved. 78 years found high blood pressure. Renal Figure Right renal secretion excretion delay, in August 7, 79 to our hospital. Physical examination: blood pressure 130 / 80mmHg, double ridge rib angle no tenderness, percussion pain, urinalysis white blood cells 5-10, urine culture Streptococcus faecalis growth. Intravenous pyelography showed that the right kidney narrowed, its normal density, left kidney compensatory increase. Cystoscopy, right ureteral orifice morphology, right retrograde pyelography, see the bottom of the right ureter was gourd-like expansion. Urinary bladder cystography, suggesting that the right ureter reflux, and enter the renal pelvis calyces, the right lower ureteral obvious expansion, the left is also reflux ureter 7cm, after oral antibiotics, urinary negative and discharged.