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由感染性肾积水引起巨大肾积脓较少见.我院收治1例,积脓量为12,000ml,现报告如下.病历摘要男患,36岁。因左腰部胀痛1年,发热1个月入院。于1年前开始出现左腰部胀痛,劳累后加重.有时出现多尿,无肉眼血尿,不发热,无盗汗。近1个月突然出现发热,体温38～39℃,左腰部疼痛加重,无血尿、脓尿、尿频、尿急。经抗感染治疗未见好转。2年前有左腰部外伤史。查体:体温39.2℃,脉搏100次/分,血压130/80mmHg.左肾区饱满,叩痛(+),左劭下可触及一个20×18cm 大小包块,质中等,有浮球感,余正常。B 超:左肾可探及35×25cm 巨大形低回声暗区,回声较均匀。超声诊断:左肾巨大积水.实验室检查:血红蛋白115g
Abdominal hydronephrosis caused by infective hydronephrosis is less common in our hospital admitted to a case of empyema volume was 12,000ml, are as follows Report Summary Male patients, 36 years old. 1 year due to left lumbar pain, fever 1 month admission. A year ago began to appear left loin pain, exacerbated after exertion, and sometimes polyuria, no gross hematuria, no fever, no night sweats. Almost a month suddenly fever, body temperature 38 ~ 39 ℃, left lower back pain, no hematuria, pyuria, frequent urination, urgency. Anti-infective treatment has not improved. 2 years ago, history of left lumbar injury. Examination: body temperature 39.2 ℃, pulse 100 beats / min, blood pressure 130 / 80mmHg. Left kidney area full, percussion pain (+), left 劭 can reach a 20 × 18cm size of mass, medium quality, More than normal. B-super: the left kidney can detect and 35 × 25cm huge echo-dark area, echo more uniform. Ultrasound diagnosis: a huge left kidney water. Laboratory tests: hemoglobin 115g