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我两院自1990年1月～1995年12月,收住院治疗急性肾盂肾炎105例,其中资料齐全,附合本组要求病例共30例,以尿浓缩功能、同位素肾图、尿渗透压三项为观察指标,判断患者肾小管功能;由于药源困难本组病例未作酚红排泄试验。我们认为就以上三项指标异常表现,基本上可以了解肾小管功能的改变,现分析如下。 1 临床资料 1.1 一般资料和细菌检查结果 本组女28例,男2例,年龄20岁以下3例,20～50岁18例,50岁以上9例,分别占10％、60％和30％。儿童发病情况不在我科范围未做统计。30例均为简单性急性肾盂肾炎,全部病例均有高热、腹胀、胃纳不佳、全身酸痛,不同程度的腰痛及膀胱刺激症状等临床表现。实验室检查以脓尿菌尿
My hospital from January 1990 to December 1995, admitted to hospital for the treatment of acute pyelonephritis in 105 cases, of which the data are complete, in line with this group of patients required a total of 30 cases, urine concentration, isotope nephronogram, urinary osmotic pressure of three Items for the observation of indicators to determine the function of patients with renal tubules; due to drug sources in this group did not make phenol red excretion test. We think the above three indicators abnormal performance, basically can understand the changes of renal tubular function, are analyzed as follows. 1 Clinical data 1.1 General information and bacterial test results The group of 28 females, 2 males, aged 20 years of age in 3 cases, 20 to 50 years in 18 cases, 50 years of age in 9 cases, accounting for 10%, 60% and 30% . The incidence of children is not in our department without statistics. 30 cases were simple acute pyelonephritis, all cases have high fever, bloating, poor appetite, body ache, varying degrees of low back pain and bladder irritation and other clinical manifestations. Laboratory tests to purulent urine