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我院自1981年以来共收治黄色肉芽肿性肾盂肾炎3例,现结合病例对有关问题略作讨论。病例摘要例1 赵××,女,33岁,左腰部隐痛伴发作性绞痛,发热5年多,发作逐渐频繁,曾多次按尿路感染治疗效果不佳。于1981年6月22日入院。体检:贫血貌,左肾区有压痛及叩击病。血红蛋白6.4g,红细胞264万,白细胞16400,中性83％,淋巴17％。白蛋白4.1g,尿素氮18.8mg,血沉113mm。尿常规:蛋白极微量,白细胞5～10,红细胞1～2,管型(-),尿中未找到抗酸杆菌,左肾盂尿细菌培养(-),逆行肾盂造影及静脉法肾盂造影均提示右侧肾正常,左肾不显影,同位素肾图示右侧曲线正常,左侧曲线示严重受损。临床诊断:左肾结核。于同年6月29日行肾探查,肾区有约两拳大的肿块,粘连严重行左肾连同
Three cases of yellow granulomatous pyelonephritis have been treated in our hospital since 1981, and the relevant problems are briefly discussed in combination with the cases. Case summary 1 Zhao × ×, female, 33 years old, left lumbar pain with angina, fever more than 5 years, the onset of frequent, repeated urinary tract infection treatment ineffective. Admitted to hospital on June 22, 1981. Physical examination: anemia, left kidney area tenderness and percussion disease. Hemoglobin 6.4g, erythrocytes 2640000, white blood cells 16400, 83% neutral, lymph 17%. Albumin 4.1g, urea nitrogen 18.8mg, ESR 113mm. Urine: a trace of protein, white blood cells 5 to 10, red blood cells 1 to 2, tubular (-), no acid-fast bacilli found in urine, left renal pelvis bacteria culture (-), retrograde pyelography and intravenous pyelography were prompted The right kidney is normal, the left kidney is not developed, the right curve of the isotope kidney is normal, and the left curve is severely impaired. Clinical diagnosis: left kidney tuberculosis. In the same year on June 29 line kidney exploration, kidney area about two big big lumps, adhesions serious left kidney together