患者,女,38岁。以尿频、尿急、尿痛并脓血尿2年加重2月余入院。T、P、R、BP均正常,心肺(-),两下腹与膀胱区压痛。尿蛋白++,脓细胞++++,红细胞+～++。B超示双肾积水。同位素肾图示左肾功能中度受损,右肾呈梗阻曲线。IVP示左肾输尿管上中段积水,下段狭窄5cm,右肾输尿管中上段严重积水,中下段输尿管未显影8cm。膀胱最大容量59ml。于连硬外麻醉下行右肾输尿管探查术,证实右肾输尿管中上段高度积水,中下段输尿管梗阻闭塞,做上端输尿管造瘘。术后每日引流尿液500～700 Patient, female, 38 years old. To frequent urination, urgency, dysuria and septic hematuria increased 2 years more than 2 admitted. T, P, R, BP were normal, cardiopulmonary (-), the lower abdomen and bladder area tenderness. Urinary protein ++, pus ++++, erythrocytes + ~ ++. B ultrasound showed hydronephrosis. Isotope renal diagram shows moderate renal function impairment, right renal obstruction curve. IVP showed left renal pelvis hydronephrosis, lower stenosis 5cm, upper right ureteral ureter in severe hydrocephalus, lower ureter undeveloped 8cm. Bladder maximum capacity of 59ml. In the even outside the hard anesthesia right kidney ureter exploration, confirmed in the upper right kidney hydronephrosis, upper and lower ureter obstruction occlusion, do the upper ureterostomy. Postoperative daily drainage of urine 500 ~ 700