1病例介绍患者女,24岁。因腰痛、发热2d,腹痛1d入院。查体:体温37.6℃,急性病容,双肺呼吸音清,心音有力,律齐,双肾区叩痛,双侧输尿管走行区无压痛,双下肢无水肿。查肾功:尿素氮6.5mmol/L,肌酐126.8μmol/L;血常规:白细胞计数12.18×109/L,中性粒细胞90%,淋巴细胞5%。诊断:急性肾 1 case description Female patient, 24 years old. Due to low back pain, fever 2d, abdominal pain 1d admission. Physical examination: body temperature 37.6 ℃, acute disease, lung breath sounds clear, strong heart sound, law Qi, perineal area percussion pain, bilateral ureteral walking area without tenderness, no lower extremity edema. Check renal function: urea nitrogen 6.5mmol / L, creatinine 126.8μmol / L; blood: white blood cell count 12.18 × 109 / L, 90% of neutrophils, lymphocytes 5%. Diagnosis: Acute kidney