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女,54岁。畏寒伴尿频、尿急、尿痛。体查:体温36.3℃,血压130/80,脉搏82次,呼吸20次,心肺正常,腹平软,肝、脾未触及,中下腹轻压痛,无反跳痛,肾区无叩痛,双下肢轻微水肿。实验室检查:血红蛋白100g/L,白细胞3.3×10~9/L,中性60%,淋巴34%,酸性6%;尿黄色混浊,pH6.5,亚硝酸++++,蛋白±,镜检白细胞++++,红细胞0～1/HP,连续3天尿细菌培养均为埃希菌生长,细菌计数>10~4/ml。菌种鉴定:该菌接种绵羊血、家兔
Female, 54 years old. Chills with frequent urination, urgency, dysuria. Physical examination: body temperature 36.3 ℃, blood pressure 130/80, pulse 82 times, breathing 20 times, normal heart and lungs, abdominal soft, liver, spleen not touched, mild tenderness in the abdomen, no rebound tenderness, no percussion pain in the kidney area, Slight edema of lower limbs. Laboratory tests: hemoglobin 100g / L, leukocytes 3.3 × 10 ~ 9 / L, neutral 60%, lymphatic 34%, acid 6%; urine yellow turbidity, pH6.5, nitrite ++++, protein ±, mirror Leukocytes ++++, erythrocytes 0-1 / HP, three consecutive days of bacterial culture of bacteria are bacteria growth of Escherichia coli, bacteria count> 10 ~ 4 / ml. Identification of bacteria: The bacteria inoculated sheep blood, rabbits