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气肿性肾盂肾炎的临床诊治及文献回顾 被引量:6

Emphysematous pyelonephritis:report of 3 cases and literatures review
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摘要 目的探讨气肿性肾盂肾炎患者的临床表现及诊治。方法分析3例气肿性肾盂肾炎患者的临床资料并回顾文献,患者行CT等检查确诊后积极抗感染并行经皮肾穿刺引流。结果 3例患者均为女性,年龄35~64岁之间,2例既往患糖尿病多年且血糖控制较差。均因"发热伴腰痛"入院,病情危重,CT提示肾脏及肾周气性脓肿病变,3例患者均在行经皮肾穿刺引流及抗生素抗感染后治愈出院。结论气肿性肾盂肾炎是一种累及肾实质及肾周的急性坏死性产气性感染,病情危重,CT为其主要诊断方法,多采用抗生素加经皮肾穿刺引流治疗。 Objective To explore the clinical manifestation, diagnosis and treatment of emphysematous pyelonephritis (EPN) and review the literatures. Methods Clinical data of 3 cases of EPN and related literatures were reviewed. All cases were diagnosed as EPN mainly by computed tomography (CT). Incision and drainage of perinephric abscess with antibiotics were performed. Results All patients were female,aged 35--64 years. Two patients suffered from past histories of diabetes mellitus. They were in critical conditions and hospitalized for fever and flank pains. CT films indicated diffuse necrosis of kidney and perinephric gas.All patients were cured by incision and drainage of perinephric abscess with antibiotics. Conclusions EPN is an acute severe necrotizing infection of renal parenchyma and perinephric tissues with gas formation around renal paren- ehyma,collecting system,or perinephric tissues. CT is the best choice of diagnosis. Percutaneous or incision drainage of abscess with antibiotics is the preferred treatment.
出处 《现代泌尿外科杂志》 CAS 2017年第9期687-689,共3页 Journal of Modern Urology
关键词 气肿性肾盂肾炎 诊断 治疗 抗生素 emphysematous pyelonephritis diagnosis treatment antibiotics
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