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病例一(市一院提供) 患者女,52岁,一年前因在输尿管上端结石在外院行切开取石术,术后切口感染,后又屡发左肾绞痛、伴血尿、尿频,并时有发热(38℃左右)。在外院反复应用庆大霉素、卡那霉素、林可霉素约10月之久,因症状未缓解而入院治疗。体检:除左腰部可见15cm长之斜形疤痕切口外余无明显异常。尿检红细胞+、白细胞++~+++,尿涂片找见少许霉菌、中段尿培养阴性,A型超声检查:右肾
Female patient, aged 52 years old, a year ago because of upper ureteral calculi at the hospital line cut stone surgery, incision infection, and then frequent cases of left renal colic, with hematuria, frequent urination, and Sometimes fever (38 ℃ or so). Repeatedly applied in the outer courtyard gentamicin, kanamycin, lincomycin about 10 months long, because the symptoms did not ease and hospitalization. Physical examination: In addition to the left waist visible 15cm long oblique scar incision no significant abnormalities. Urine test red blood cells +, white blood cells ++ ~ +++, urine smear to find a little mold, urine culture negative in the middle, A-type ultrasound: the right kidney