肾结核起病潜隐,发展缓慢,早期其临床表现常无明显的症候,随着病情的发展其症状又常为多样性,其中以尿频、尿急、尿痛、血尿最为常见,很易误诊为尿感。有文献报告约90％以上的肾结核入院前误诊为尿感。本文试图从总结误漏诊教训的角度来探讨肾结核与尿感的鉴别,期望能从中提高对肾结核的警惕和诊断水平。1典型误漏诊病例及其教训例1,申××,女,42岁。因尿频、尿急、尿痛、间断血尿20年,少尿2年入院。患者于 Kidney tuberculosis onset latent, slow development, early clinical manifestations often no obvious symptoms, with the development of the disease and its symptoms are often diverse, of which frequent urination, urgency, dysuria, hematuria is the most common, it is easy to misdiagnosis For the urine. There are literature reports that about 90% of renal tuberculosis before admission misdiagnosed as urinary flu. This article attempts to summarize the lessons learned from misdiagnosis of renal tuberculosis and urinary tract identification, hoping to improve the level of vigilance and diagnosis of renal tuberculosis. A typical case of misdiagnosis and its lessons Example 1, Shen × ×, female, 42 years old. Due to frequent urination, urgency, dysuria, intermittent hematuria 20 years, oliguria 2 years admitted. Patient at