典型肾结核不难诊断,但若警惕性不高,也常误诊,现报告1例。某男,53岁,某部政委。患者于1959年开始反复腰痛、尿频,间断出现肉眼血尿及小便混浊,但不发热。曾先后在三家医院4次住院,分别诊断为“血尿待查”、“尿路感染”、“前列腺炎”、“出血性膀胱炎”,每次经治疗后血尿消失出院。1984年6月又出现全程肉眼血尿,尿频加重而第5次住院(本院为第3次)。体检:一般情况好。皮肤粘膜无出血点,心肺正常,左肾区有叩击痛,沿左输尿管有压痛,左侧附睾触及一黄豆大的结节,质硬,压痛明显。实验室检查:血常规、血小板计数、出凝血时间、血沉、肝功能、血糖、尿素氮、肌酐均在正常范围;多次尿常规:蛋白(-),糖 Typical renal tuberculosis is not difficult to diagnose, but if vigilance is not high, often misdiagnosed, it is reported in 1 case. A man, 53 years old, a political commissar. Patients began to have lumbago and frequent urination in 1959, intermittent gross hematuria and urinary opacity, but no fever. He was hospitalized in three hospitals four times and was diagnosed as “hematuria to be investigated,” “urinary tract infection,” “prostatitis,” and “hemorrhagic cystitis.” Hematuria disappeared and discharged after each treatment. In June 1984, there was a recurrence of gross hematuria, frequent urination and hospitalization for the fifth time (our hospital was the third time). Physical examination: the general situation is good. Skin and mucous membrane without bleeding, normal heart and lung, perling left kidney area pain, tenderness along the left ureter, the left epididymis touched a large nodules of soybeans, hard, tenderness significantly. Laboratory tests: blood, platelet count, clotting time, ESR, liver function, blood glucose, urea nitrogen, creatinine were in the normal range; multiple urinary routine: protein (-), sugar