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1.病例女,58岁。因尿频3天,发烧2天就诊。门诊查尿WBC(++++),蛋白少许。诊断为肾盂肾炎,给予GM24万u加入10％葡萄糖500ml中静滴,第二日体温下降,尿少。停用GM观察;第三日仍尿少入院。查体:体温38℃,血压18/10kPa,心肺无异常。肾区无叩击痛,输尿管压痛点无压痛,双下肢无浮肿。化验:Hb100g/L,WBC14×10~9/L。尿WBC(+++),蛋白少许。血BUN:22.3mmol/L。肌酐442μmol/L。24小时尿量为300ml,尿培养。大肠杆菌菌落数>10~5/ml,B超示双
1. Case female, 58 years old. Due to frequent urination 3 days, fever 2 days treatment. Out-patient check urine WBC (++++), a little protein. Diagnosed as pyelonephritis, given GM24 million u added 500ml of 10% glucose infusion, the second day of body temperature decreased, less urine. Disable GM observation; the third day still less urine admission. Physical examination: body temperature 38 ℃, blood pressure 18 / 10kPa, no abnormal heart and lungs. No percussion pain in the kidney area, no tenderness in tenderness of the ureter and no swelling in both lower extremities. Laboratory: Hb100g / L, WBC14 × 10 ~ 9 / L. Urine WBC (+++), a little protein. Blood BUN: 22.3 mmol / L. Creatinine 442 μmol / L. 24-hour urine output of 300ml, urine culture. Escherichia coli colonies> 10 ~ 5 / ml, B ultrasound showed double