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伤寒并发溶血——尿毒症综合征临床表现多不典型,容易误诊,国内很少报告。现将我院发现一例报告如下: 男性,20岁。因畏寒,发热,腰痛解酱油样尿一周入院。 患者于6天前上午发现酱色尿,下午觉畏寒发热伴腰痛,尿色更深,24小时尿约400～500ml,体温39.5℃。次日尿量更少,到某医院就诊,尿常规检查红细胞卅、白细胞0～3,颗粒管型0～1/高倍视野(下同),诊断为发热待查,肾炎(?)。经注青霉素服消炎痛等治疗无效。3天前复查尿蛋白卅、红细胞卅、白细胞0～5,颗粒管型0～2,并觉乏力、出汗,遂来我院住院。既往无类似病史,起病前亦无服用特殊药物史。
Typhoid complicated with hemolysis - uremia syndrome clinical manifestations and more atypical, easily misdiagnosed, rarely reported in China. Now I found a hospital reported the following: Male, 20 years old. Due to chills, fever, low back pain soy sauce-like urine a week hospitalization. Patient found sauce color urine in the morning 6 days, chills and fever in the afternoon with low back pain, darker urine, urine about 400 ~ 500ml 24 hours, body temperature 39.5 ℃. Urine volume less the next day, to a hospital for treatment of urinary routine examination of erythrocyte 卅, leukocytes 0 ~ 3, particle tube 0 ~ 1 / high power field (the same below), diagnosis of fever pending investigation, nephritis (?). After injection of penicillin and other indomethacin treatment ineffective. 3 days ago review of urinary protein 卅, erythrocyte 卅, white blood cells 0 to 5, particle tube type 0 to 2, and feel fatigue, sweating, then came to our hospital. No previous similar medical history, nor before taking any special medication history.