林某 ,男 ,35岁 ,因畏寒、发热出现尿频、尿急和尿痛等膀胱刺激症状 ,于 1999年 1月 10日来院就诊 ,初步诊断为急性肾盂肾炎。化验检查提示 :白细胞 9 5× 10 9/Ｌ ,中性粒细胞 80 % ,淋巴细胞 2 0 %。当日给予青霉素 80 0万ｕ/ｄ ,妥布霉素 16万ｕ分别静滴 ,并给予阿莫西林 0 Lin, male, 35 years old, due to chills, fever urinary frequency, urgency and dysuria urinary bladder irritation and other symptoms, in January 10, 1999 to the hospital for treatment, the initial diagnosis of acute pyelonephritis. Laboratory tests suggest that: white blood cells 9 5 × 10 9 / L, 80% of neutrophils, lymphocytes 20%. The same day penicillin 80 0 000 u / d, tobramycin 16 million u intravenously, and given amoxicillin 0