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诊断慢性肾盂肾炎的可靠依据是()

单选题
2021-09-01 20:37
A、临床症状迁延不愈超过半年
B、反复发作超过半年
C、中段尿细菌培养多次阳性
D、尿常规中有蛋白及红、白细胞
E、静脉肾盂造影、肾盂、肾盏变形或双肾大小不一
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正确答案
E

试题解析
慢性肾盂肾炎的诊断除反复发作尿路感染病史之外,尚需结合影像学及肾脏功能检查。①肾外形凹凸不平,且双肾大小不等;②静脉肾盂造影可见肾盂肾盏变形、缩窄;③持续性肾小管功能损害。具备上述第①②条的任何一项再加第③条可诊断慢性肾盂肾炎。

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