病历摘要患儿男,5岁。1987年4月10日以尿频、尿急20余天,高热3天为主诉入院。患儿于入院前20天开始无明显诱因出现尿频、尿急,每小时排尿4～6次,每次排尿量少,儿滴到几毫升,伴下腹痛,尿色黄,无肉眼血尿。入院前3天开始发热,体温在39～40℃之间,同时尿频尿急症状加重。晨起出现双眼睑轻度浮肿。在门诊口服呋喃坦啶,肌注氨苄青霉素2天病情不见好转,入院治疗。体格检查:体温37.8℃,呼吸24次/分,脉搏112次/分,血压13.3/8KPa(100/60mmHg),神志清,眼睑无浮肿,咽充血,扁桃体Ⅱ°大。双肺呼吸音粗,心率112次/分,心音纯,节律整。下腹部有压痛,肝脾未触及,肾未触及,肾区 Medical records Male children, 5 years old. April 10, 1987 to frequent urination, urgency more than 20 days, fever-based 3 days admitted to hospital. 20 days before admission, children with no obvious incentive to urinary frequency, urgency, urination hourly 4 to 6 times, each urination less, drops to a few milliliters, with abdominal pain, urine yellow, no gross hematuria. 3 days before admission fever, body temperature between 39 ~ 40 ℃, urinary frequency and urgency symptoms aggravated. Early morning double eyelid edema. In the outpatient oral furadantin, intramuscular ampicillin 2 days condition did not improve, admission treatment. Physical examination: body temperature 37.8 ℃, breathing 24 beats / min, pulse 112 beats / min, blood pressure 13.3 / 8KPa (100 / 60mmHg), clear consciousness, edema without edema, pharyngeal congestion, tonsil Ⅱ °. Breath sounds coarse lungs, heart rate 112 beats / min, heart sound pure, rhythm whole. Lower abdomen with tenderness, liver and spleen not touched, kidney not touched, kidney area