双侧上尿路同时存在的无痛性结石报道甚少,但有误诊而发生尿毒症致死者。我科于1962～1978年收治上尿路结石374例,发现2例双侧上尿路无痛性结石,均在转入我科前长期误诊。为引起重视,现报道如下。例1:男,30岁,住院号62,628。因间歇性低热3月再次复发8天,于1973年6月8日入我院内科。3个月来,每逢受凉出现发热(38℃左右)、咽痛、全身关节痛和尿量减少,但无明显腰痛、尿频、尿急、尿痛和排尿困难,均按“慢性肾小球肾炎”治疗缓解。8天前因受凉再次发病,症状同上,另有颜面和双下肢浮肿。查体:体温37.8℃,血压180/100,双眼睑浮肿,咽部充血,双侧扁桃体I°肿大(右侧有散在脓点)。心肺正常。肝脾不肿大。双 Bilateral upper urinary tract exist simultaneously painless stones rarely reported, but misdiagnosed and uremia caused by death. Our department in 1962 to 1978, 374 cases of upper urinary tract stones, found two cases of bilateral upper urinary tract painless stones, are transferred to our long-term misdiagnosis. To attract attention, are reported below. Example 1: Male, 30 years old, hospital number 62,628. Due to intermittent fever again in March relapse 8 days, June 8, 1973 into our hospital internal medicine. 3 months, whenever there is fever (about 38 ℃), sore throat, general joint pain and decreased urine output, but no obvious back pain, frequent urination, urgency, dysuria and dysuria, according to “chronic renal Ball nephritis ”treatment to ease. 8 days ago again due to cold onset, the same symptoms, and another face and lower extremity edema. Physical examination: body temperature 37.8 ℃, blood pressure 180/100, double eyelid edema, throat congestion, bilateral tonsil I ° enlargement (right side of the pus in the scattered point). Cardiopulmonary normal. Liver and spleen not swollen. double