%0 Journal Article
%T 气肿性肾盂肾炎2例并文献复习<br>Emphysematous Pyelonephritis: 2 Cases Report and Literature Review
%A 张胜景
%A 孙海鹏
%A 郝俊文
%A 陈洪延
%A 陈腾飞
%A 边通
%J Asian Case Reports in Surgery
%P 41-47
%@ 2169-2548
%D 2019
%I Hans Publishing
%R 10.12677/ACRS.2019.84006
%X 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。<br />
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.
%K 气肿性肾盂肾炎，经皮肾穿刺引流术，糖尿病<br>Emphysematous Pyelonephritis
%K Percutaneous Renal Puncture and Drainage
%K Diabetes Mellitus
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=33269