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男,18岁,1984年7月12日因腰痛8年,尿急尿频4年,间断终末血尿偶有血块1年余入院。3个月前开始发冷发热,且盗汗、消瘦,头昏、乏力,尿路刺激症状加重,当地医院疑诊肾结核,用抗痨药物治疗仍无好转而转院。患者7岁时患粟粒性肺结核,其父有结核史。体检:二肾明显增大,右肾下极平脐,质较硬,有压痛,表面不平,活动差,肾区饱满,有叩痛;左肾下极在脐上二指,质软,轻度压痛,活动可,肾区叩痛不明显;耻骨上膀胱区轻度压痛;生殖系未查到明显改变,排泄性尿路造影右肾不显影,左肾积水。临床诊断右肾结核,合并左肾积水及膀胱挛缩。住院后 B 超检查符合右肾结核、左肾积水。尿常
Male, 18 years old, July 12, 1984 due to low back pain for 8 years, urgency and frequent urination 4 years, intermittent terminal hematuria occasional clot more than 1 year admission. 3 months ago began to chills fever, and night sweats, weight loss, dizziness, fatigue, urinary tract irritation increased, the local hospital suspected renal tuberculosis, with anti-tuberculosis drug treatment is still no improvement and transfer. Patients suffering from miliary tuberculosis at age 7, the father of a history of tuberculosis. Physical examination: two kidneys increased significantly, the right kidney under the flat navel, hard quality, tenderness, uneven surface, poor activity, full kidney area, percussion pain; left kidney under the umbilical pole in the second finger, soft, light Degree of tenderness, activity can be, percutaneous renal area was not obvious; mild suprapubic bladder tenderness; no significant change in the reproductive system detected, voiding urinary tract right renal renal imaging, left hydronephrosis. Clinical diagnosis of right renal tuberculosis, with left hydronephrosis and bladder contracture. B-check after in line with the right kidney tuberculosis, left hydronephrosis. Urine often