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患者××,女,52岁。病案号:0275。因尿频、尿急、尿痛7月余,曾于外院经中西药治疗无效,症状逐日加重,至每3～5分钟小便1次,严重影响休息而入院。入院后体检心肺(一),肝脾未扪及,右肾区叩痛(+)。化验检查:血常规正常。尿常规:蛋白(?),脓球满视野,查到抗酸杆菌,尿培养生长白色葡萄球菌及大肠杆菌,对先锋霉素高度敏感,酚红排泄试验,尿素氮及二氧化碳结合力均正常,血沉第1小时110mm。X线检查:腹部平片见右肾区钙化病变,肾盂造影右肾不显影。临床诊断:为右肾结核并泌尿系感染。给予抗结核药物治疗1周、未见过敏反
Patients × ×, female, 52 years old. Case number: 0275. Due to frequent urination, urgency, dysuria more than 7 months, had outside the hospital after the treatment of Western medicine is invalid, the symptoms increased day by day, to every 3 to 5 minutes of urine 1, seriously affecting the rest and admission. Physical examination after admission cardiopulmonary (A), liver and spleen not palpable, right kidney area percussion pain (+). Laboratory tests: normal blood. Urine routine: protein (?), Pus ball full field, found acid-fast bacilli, urine culture and growth of Staphylococcus aureus and Escherichia coli, highly sensitive to cephalosporins, phenol red excretion test, urea nitrogen and carbon dioxide binding were normal, ESR first hour 110mm. X-ray examination: abdominal plain film see the right kidney calcification lesion, renal pelvis imaging right renal does not develop. Clinical diagnosis: Right kidney tuberculosis and urinary tract infection. Anti-TB drug treatment for 1 week, no allergy