气肿性肾盂肾炎2例并文献复习  

Emphysematous Pyelonephritis: 2 Cases Report and Literature Review

作　　者：张胜景 孙海鹏 郝俊文 陈洪延[1] 陈腾飞 边通 

机构地区：[1]山东中医药大学附属医院泌尿外科,山东 济南 [2]山东省淄博市中埠卫生院,山东 淄博

出　　处：《亚洲外科手术病例研究》2019年第4期41-47,共7页Asian Case Reports in Surgery

摘　　要：目的:探讨气肿性肾盂肾炎患者的病因病机、临床表现及诊断治疗。方法:分析2例气肿性肾盂肾炎患者的临床资料并回顾文献,并结合文献探讨其临床特点及诊治方法。结果:2例患者均患有糖尿病,且血糖控制较差。CT均提示气肿性肾盂肾炎。1例患者行肾穿刺引流后效果不佳,最终行患侧肾切除术;1例患者保守治疗,抗生素抗感染后治愈出院。结论:气肿性肾盂肾炎相对罕见,临床无典型表现,CT为其主要诊断方法。一旦确诊,应尽早使用抗生素,若患者病情改善不明显,应考虑行经皮肾穿刺引流术,必要时行肾切除术。Objective: To explore the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of emphysematous pyelonephritis. Methods: The clinical data of 2 cases of emphysematous pyelo-nephritis and related literatures were reviewed. The clinical characteristics, diagnosis and treat-ment methods were discussed through literature review. Results: Emphysematous pyelonephritis is relatively rare and has no typical clinical manifestations. CT is the best choice of diagnosis. Anti-biotics should be used as soon as possible once the diagnosis was confirmed. If the patient’s condi-tion has no improvement, percutaneous nephrectomy and nephrectomy should be considered.

关 键 词：气肿性肾盂肾炎 经皮肾穿刺引流术 糖尿病 

分 类 号：R69[医药卫生—泌尿科学]