1例2岁精索鞘膜积液患儿行腹腔镜双侧鞘状突高位结扎术后接受单次酮咯酸氨丁三醇注射液7 mg静脉滴注镇痛。用药后约17 h，患儿出现肉眼血尿，超声检查示膀胱内血块，尿常规检查示尿潜血（++），镜检红细胞>50个/高倍视野（HP），尿蛋白（+++）。患儿同期未使用其他药物，考虑患儿的血尿与酮咯酸氨丁三醇注射液有关。先后给予酚磺乙胺注射液0.5 g静脉滴注、1次/d和注射用头孢曲松钠0.5 g静脉滴注、1次/d。治疗6 d后，患儿肉眼血尿消失，尿常规示尿潜血（+++），镜检红细胞3个/HP，尿蛋白（+++）。11 d后复查，尿潜血（+），镜检红细胞0个/HP，尿蛋白（++）。1个月后复查，尿潜血（n -）、尿蛋白（n -）。n “,”A 2-year-old boy with hydrocele of spermatic cord received an IV infusion of ketorolac tromethamine injection 7 mg after laparoscopic high ligation of bilateral sheath to relieve pain. About 17 hours after the medication, the boy developed gross hematuria. Ultrasonic examination showed blood clots in the bladder. Routine urine analysis showed urine occult blood (++), red blood cells >50 cells per high-power field in urine microscopy, and protein (+++). The boy did not use other drugs in the same period, and hematuria related to ketorolac tromethamine injection was considered. The boy received IV infusions of etamsylate injection 0.5 g once daily and then ceftriaxone sodium for injection 0.5 g once daily successively. After 6 days of treatments, the boy′s gross hematuria disappeared. Routine urine analysis showed urine occult blood (+++), 3 red blood cells per high-power field in urine microscopy, and urine protein (+++). Eleven days later, the re-analysis showed urine occult blood (+), none red blood cell per high-power field in urine microscopy, and urine protein (++). One month later, the re-analysis showed urine occult blood ( n -) and urine protein (n -).n