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患者女,36岁.住院号75112。尿频、尿急、尿痛3年余,多次内科门诊就诊,诊为肾盂肾炎。经治无效而收入院。查体:血压110/90毫米汞柱,脉搏70次/分,体温36.5℃,血红蛋白11克％,红细胞330万,白细胞5100。尿蛋白(+),红细胞满视野/HP,白细胞及脓球3～5个/HP,未做尿培养,诊断肾盂肾炎于1974年11月12日入内科。入院后按肾盂肾炎治疗。病情逐渐加重,全身乏力,头晕、食欲不振,逐渐消瘦,左侧腰部疼痛,查体发现左下腹可触及一约3×5厘米之包块,质地坚硬。妇科会诊诊为子宫肌瘸。行静脉肾盂造影结果左肾无功能并肾盂积
Female patient, 36 years old. Hospital number 75112. Urinary frequency, urgency, dysuria more than 3 years, many out-patient clinic, diagnosed as pyelonephritis. Remedy invalid and income homes. Physical examination: blood pressure 110/90 mm Hg, pulse 70 beats / min, body temperature 36.5 ℃, hemoglobin 11%, red blood cells 3.3 million, white blood cells 5100. Urine protein (+), red blood cells full field / HP, white blood cells and pus 3 to 5 / HP, did not make urine culture, diagnosis of pyelonephritis in November 12, 1974 into the internal medicine. After admission by pyelonephritis treatment. His condition gradually aggravated, his body weakness, dizziness, loss of appetite, weight loss, left lumbar pain, physical examination found that the left lower quadrant can reach about 3 × 5 cm mass, hard texture. Gynecological consultation clinics for uterine muscle lameness. Intravenous pyelography left renal nonfunction and renal pelvis