肾积脓

上尿路结石并发肾积脓的诊断和治疗

Diagnosis and treatment of upper urinary stone complicated with pyonephrosis

梗阻性肾积脓103例的临床分析

Clinical Analysis of 103 Patients with Obstructing Pyonephrosis

结论：上尿路梗阻性肾积脓以结石梗阻为主（78.1%）。

Conclusions : The main risk factors of pyonephrosis is urolithiasis ( 78.1 % ) .

Ⅲ型，结核性肾积脓；

ⅲ, renal abscess of tuberculosis ;

方法分析103例梗阻性肾积脓的临床特点、诊断和治疗，并结合文献进行讨论。

Methods Analyse 103 person who obstruct kidney accumulate clinical characteristic of suppuration , diagnose and treat , combine document discuss .

此时，基于肾积脓的病理改变为肾组织广泛破坏，肾内为脓液充填，形成巨大脓腔。

At this point , based on the pathological changes of renal extensive destruction , renal as pus filling , forming a huge Vomica .

1例孤肾肾结石合并积脓，行一期取石，术后出现中毒性休克，1例合并糖尿病患者术后出现酮症酸中毒，其余未出现大的并发症。

Another one case of diabetes suffered from postoperative ketoacidosis , no major complications were noted in the other patients .

讨论早期诊断与治疗是减少慢性肾衰竭并发肾积脓发生率、提高存活率及生活质量的重要措施。

Discussion : Early diagnosis and treatment is to reduce the chronic renal failure complicated with pyonephrosis incidence , improve survival and quality of life measures important .

目的提高慢性肾功能衰竭并发肾积脓的诊治水平。

Objective To improve chronic renal failure complicated by renal diagnosis and treatment of emphysema .

结果103例均经外科手术或经皮肾穿证实，而C反应蛋白变化是肾积脓的一个敏感早期诊断指标。

Results 103 is it verify by operation through leather kidney and C react albumen whether kidney accumulate a sensitivity of suppuration diagnose the index .