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患者,男,54岁,住院号016904,1981年10月14日以“慢性肾炎”、”泌尿系感染”住院。入院前五天,右下腹痛继转全腹痛,伴尿频、尿急、尿痛和血尿、腰痛。入院前两天上述症状加剧,发冷发烧,体温39℃。经治疗,体温下降,症状不见缓解来我院内科。既往史:尿频、尿急、尿痛反复发作20余年。曾在市、县医院诊为“肾炎”、“泌尿系感染”。体检:T36℃,P88,R20,BP96/80。心肺正常。腹肌紧张,全腹压痛,以右下腹为著.无反跳痛,肝脾未及,肠鸣音存在。化验:血红蛋白13.5g/dl,红细胞455万,白细胞42.900,中性95%,淋巴3%,单
Patients, male, 54 years old, hospital number 016904, October 14, 1981 to “chronic nephritis”, “urinary tract infection” hospitalization. Five days before admission, the right lower quadrant abdominal pain continued with the full abdominal pain, urinary frequency, urgency, dysuria and hematuria, back pain. Two days before admission, the above symptoms intensified, chills and fever, body temperature 39 ℃. After treatment, the temperature dropped, the symptoms did not ease to our hospital internal medicine. Past history: frequent urination, urgency, dysuria recurrent more than 20 years. In the city, county hospital diagnosed as “nephritis”, “urinary tract infection.” Physical examination: T36 ℃, P88, R20, BP96 / 80. Cardiopulmonary normal. Abdominal tension, full abdominal tenderness, to the right lower abdomen. Without rebound pain, liver and spleen not yet, bowel sounds exist. Laboratory tests: hemoglobin 13.5g / dl, 4.55 million red blood cells, white blood cells 42.900, 95% neutral, lymphatic 3%, single