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患者,女,33岁,主因间断腰痛伴发烧2个月,加重伴无尿4天入院。患者于2个月前出现左侧腰痛,呈持续性隐痛不放射,伴发烧38.5℃左右,在当地抗菌治疗好转。后又复发1次,性质同前。4天前再次出现腰痛,伴无尿,来我院就诊。既往体健,查:T:36.8℃,P:74次/分,R:18次/分,BP:21.5/16KPa,发育正常,营养中等,左肺下部有少量湿罗音,心脏未见异常,腹平坦,左腹压痛,无反跳痛,双肾区叩痛,以左侧明显,双下肢无浮肿。化验血常规,白细胞34×10~9/L,血色素110g/L,中性90%,血尿素氮:17.5mmol/L,二氧化碳结合力16.92mmol/L,考虑为急性
The patient, female, 33 years old, died of fever with intermittent low back pain for 2 months and aggravated with anuria for 4 days. Patients with left lower back pain 2 months ago showed persistent pain was not radiating, with a fever of about 38.5 ℃, the local antimicrobial therapy improved. After recurrence 1, the same nature as before. Back pain 4 days ago, with no urine, to our hospital. Previous body health, check: T: 36.8 ℃, P: 74 beats / min, R: 18 beats / min, BP: 21.5 / 16KPa, normal development, moderate nutrition, a small amount of wet rales in the left lower part of the lung, , Flat belly, left abdominal tenderness, no rebound tenderness, perineal area percussion pain, to the left obvious, no swelling of both lower extremities. Laboratory blood tests, white blood cells 34 × 10 ~ 9 / L, hemoglobin 110g / L, 90% neutral, blood urea nitrogen: 17.5mmol / L, carbon dioxide binding power of 16.92mmol / L, considered acute