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气肿性肾盂肾炎2例并文献复习
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Abstract:
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.
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