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患者,女,64岁。反复发作尿频、尿急、尿痛21年。此次因下腹部疼痛,排尿困难伴畏寒、发热于1989年2月10日入院。否认尿道塞入异物史。体检:急性痛苦病容,贫血外观.BP12/8 kPa,T39℃.下腹部膨隆,全腹均有压痛、反跳痛,以下腹为甚。实验室检查:血Hb85g/L,WBC 26.6×10/L,N88％;NPN42.8mmol/L,BUNl3.4mmol/L,CO_2cp14.8mmol/L.尿常规:比重1.010,蛋白(+),WBC(+++).诊断:腹膜炎,原因待查:泌尿道感染,慢性肾功能不全。予以抗炎、利尿、纠正酸中毒及留置导尿等治疗。因下腹部疼痛加剧,12小时引流尿液仅60ml,右下腹部穿刺出淡
Patient, female, 64 years old. Recurrent urinary frequency, urgency, dysuria 21 years. The lower abdominal pain, dysuria with chills, fever in February 10, 1989 admission. Denied urethra stuffing history. Physical examination: acute pain, anemia appearance .BP12 / 8 kPa, T39 ° C. Lower abdominal bulge, all abdominal tenderness, rebound tenderness, the lower abdomen is very. Laboratory tests: blood Hb85g / L, WBC 26.6 × 10 / L, N88%; NPN42.8mmol / L, BUNl3.4mmol / L, CO_2cp14.8mmol / L. Urine: specific gravity 1.010, +++). Diagnosis: Peritonitis, causes to be investigated: urinary tract infections, chronic renal insufficiency. To be anti-inflammatory, diuretic, correct acidosis and indwelling catheterization and other treatment. Due to lower abdominal pain intensified, 12-hour drainage of urine only 60ml, right lower abdomen puncture out of light