慢性肾盂肾炎导致功能性肾脏衰竭是一种少见病,且常易与肾结核至肾自截等疾病相混淆,本文就该病诊治作初步探讨。 病例 患者男性,51岁。因间断性肉眼血尿4月余入院。此间病人无尿急、尿频、尿痛,无腰痛及发烧、寒战,肉眼血尿可自行消失。病人既往无结核病史。体检:T36.5℃,腹平软,右肾区深压痛,未及包块,双肾区无叩痛。精索静脉未见曲张及包块。B超示右肾萎 Chronic pyelonephritis lead to functional renal failure is a rare disease, and often easy to be confused with other diseases such as renal tuberculosis to the kidney, the paper discussed the diagnosis and treatment of the disease. Case patient male, 51 years old. Due to intermittent gross hematuria more than 4 months admission. No urgency urinary tract patients here, frequent urination, dysuria, no back pain and fever, chills, gross hematuria disappear on their own. The patient never had a history of tuberculosis. Physical examination: T36.5 ℃, abdominal soft, deep tenderness in the right kidney area, not mass, no percussion pain in the kidney area. Varicocele no varicose and mass. B ultrasound showed right kidney wilt