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例1:女,25岁。产后6天突然寒颤发热,中下腹痛和腰骶部酸痛,伴尿频、尿急、尿痛、恶心、纳少2夭拟诊为“产褥热”入院。入院后体检:T39.8℃,膀胱区及双肋脊角压痛,肾区叩击征阳性,宫底位于脐耻间,轻压痛;恶露洁无臭,涂片示少量红白细胞;血WBC18×10~9/L,No.86;中段尿蛋白(+),白细胞(+++),透明管型0～1,白细胞管型0～2,尿沉渣涂片染色见许多革兰氏阴性杆菌,最后诊断为急性肾盂肾炎。
Example 1: Female, 25 years old. 6 days postpartum chills fever, abdominal pain and lumbosacral pain, with frequent urination, urgency, dysuria, nausea, satisfied less 2 yao as the diagnosis of “puerperal fever” admission. Post-hospital examination: T39.8 ℃, bladder area and bilateral ridge tenderness, kidney area percussion sign positive, the uterus is located in the umbilical shame, tenderness; Lulu Jie clean and odorless, smear shows a small amount of red and white cells; blood WBC18 × 10 ~ 9 / L, No.86; urinary albumin (+), white blood cells (+++), transparent tube 0 ~ 1, white blood cell tube 0 ~ 2, urinary sediment smear see a number of Gram-negative bacilli , The final diagnosis of acute pyelonephritis.