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尿路感染是农村医院日常诊疗工作中常见病例之一。据报道,经尸检证实的肾盂肾炎,在生前确诊者仅是20％左右。本文结合1例误诊病例及有关文献,对本病误诊、漏诊的原因作一分析探讨。病历摘要陈××,女,29岁,农民。因秋收时节在田间收割被暴雨淋湿,两天后即高热、寒战、全身肌肉酸痛,以两下肢下部为重,且伴有尿频、尿急,在乡村卫生室服了两剂中药(不详)后到某县医院化验尿常规:蛋白(+)、白细胞(++)、红细胞少许,尿细菌定
Urinary tract infection is one of the common cases in the routine diagnosis and treatment of rural hospitals. According to reports, confirmed by autopsy pyelonephritis, diagnosed in life is only about 20%. In this paper, a case of misdiagnosed cases and related literature, misdiagnosis of the disease, the reasons for missed diagnosis for an analysis. Medical record Chen × ×, female, 29 years old, farmer. Harvest rainy days in the field due to autumn harvest, two days after the high fever, chills, body aches, to the lower extremities as the most important, accompanied by frequent urination, urgency, taking two doses of traditional Chinese medicine in the rural clinics (unknown) To a county hospital urinalysis: protein (+), white blood cells (++), a little red blood cells, urine bacteria Ding