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典型的急性肾小球肾炎(AGN)诊断多不困难。少数病例以急性腹痛、腰痛为首发症状,此时,若不详细询问病史,全面系统的体格检查,则易误诊为其他疾病。本文初步探讨12例AGN的误诊教训。1 临床资料 12例AGN系1986～1997年作者诊治的患者,男10例,女2例,年龄9～28岁。以右下腹急性疼痛为首发症状者8例,两肾区疼痛者2例,左右腹痛疼者2例。9例有明确的上呼吸道感染或皮肤感染史,3例不详。主要表现为就诊时腹痛或肾区疼痛难忍。体检:右下腹压痛、反跳痛者6例,左下腹压
Typical acute glomerulonephritis (AGN) diagnosis is not difficult. A small number of cases of acute abdominal pain, low back pain as the first symptom, at this time, if no detailed history, comprehensive physical examination, it is easy to misdiagnosis of other diseases. This article preliminary study of 12 cases of AGN misdiagnosis. 1 Clinical data 12 cases of AGN from 1986 to 1997, the author diagnosis and treatment of patients, 10 males and 2 females, aged 9 to 28 years. The right lower quadrant acute pain as the first symptom in 8 cases, two renal pain in 2 cases, about 2 cases of abdominal pain. Nine patients had a clear history of upper respiratory tract infections or skin infections, 3 were unknown. Mainly manifested as abdominal pain or kidney pain when unbearable. Physical examination: right lower quadrant tenderness, rebound pain in 6 cases, left lower quadrant pressure