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患儿,女,10岁,山东烟台人。持续性肉眼血尿6年,曾到外地医院诊为肾炎,给予大剂量激素及中药治疗,均未见好转。1992年3月在当地医院从尿及大便中首次镜检出结肠小袋纤毛虫包囊及滋养体,给予灭滴灵、四环素等药物治疗后血尿减轻,为进一步确诊转我所。患儿有猫、狗、猪接触史。查体:一般情况尚好,无双肾区叩痛等阳性体征。化验:Hb120g/L,RBC3.6×10~(12)/L;尿淡绿色,RBC“艹”,WBC少许,蛋白“-”,pH值5.5,比重1.008,查见结肠小袋纤毛虫包囊及滋养体。诊断为泌尿系结肠小袋纤毛虫病。给予50％灭滴灵250ml静滴,1次/d×10,同时服用PPA、土霉素,并给
Children, female, 10 years old, Yantai, Shandong. Persistent gross hematuria 6 years, had been diagnosed with nephritis in foreign hospitals, given high-dose hormones and traditional Chinese medicine, have not improved. 1992 March in the local hospital from the urine and stool in the first colonoscopy ciliated sphincter cysts and trophozoites, giving metronidazole, tetracycline and other drugs to reduce hematuria after treatment, to further confirm the transfer to our institute. Children with cats, dogs, pigs contact history. Physical examination: the general situation is good, no double kidney area percussion and other positive signs. Laboratory: Hb120g / L, RBC 3.6 × 10-12 / L; light green urine, RBC “艹”, WBC a little, protein “-”, pH value 5.5, the proportion of 1.008, see the colon pouch ciliates cysts And trophozoites. Diagnosis of urinary colon pouch ciliate disease. Give 50% metronidazole 250ml intravenous infusion, 1 time / d × 10, take PPA, oxytetracycline, and give