CAJ | 학술논문

总结2例气肿性肾盂肾炎患者的临床资料.2例均为糖尿病患者,血糖控制不佳,伴有腰痛症状、高热、血、尿白细胞增多.CT扫描见患肾增大、肾实质或肾周围有大量气体.均行静脉联合抗生素抗感染治疗,同时行脓肿开放手术引流1例、B超引导经皮穿刺引流1例,均痊愈出院.CT可早期诊断气肿性肾盂肾炎,联合应用抗生素和及时脓肿引流术治疗效果好.
총결2례기종성신우신염환자적림상자료.2례균위당뇨병환자,혈당공제불가,반유요통증상、고열、혈、뇨백세포증다.CT소묘견환신증대、신실질혹신주위유대량기체.균행정맥연합항생소항감염치료,동시행농종개방수술인류1례、B초인도경피천자인류1례,균전유출원.CT가조기진단기종성신우신염,연합응용항생소화급시농종인류술치료효과호.
To explore the diagnosis and treatment of emphysematous pyelonephritis so as to improve its diagnosis and reduce its mortality.The clinical data were retrospectively analyzed for 2 diabetic patients with emphysematous pyelonephritis.Their symptoms included high fever,chills and lumbago.Computed tomography (CT) scans were performed to reach a definite diagnosis of emphysematous pyelonephritis with gas within renal parenchyma and/or perirenal tissue.Both received intravenous antibiotics.One patient underwent open abscess drainage while another percutaneous puncture under ultrasonic guidance.Their conditions improved and healed.CT scan is an efficient imaging modality for early diagnosis.The combination of antibiotics and early drainage may offer a better outcome.