急性上腹痛是急诊室常见的急诊,其病因较为复杂,通常要求临床医师迅速作出判断,及时处理。作者在临床工作中诊治原因不明的急性上腹部疼痛时发现急性肾盂肾炎以腹痛为首发症状并非少见,兹报告如下。1　临床资料11　病例来源本组资料收集1992年1月～1998年7月我院门急诊收治的以 Acute upper abdominal pain is a common emergency room emergency, the etiology is more complicated, usually require clinicians to make prompt judgments and timely treatment. The author in the clinical diagnosis and treatment of unexplained acute upper abdominal pain found in acute pyelonephritis with abdominal pain as the first symptom is not uncommon, it is reported as follows. 1 Clinical data 11 cases of this collection of data collected in January 1992 ~ July 1998 hospital emergency treatment