Koga S, Arakaki Y, Matsuoka M, Ohyama C
Department of Urology, Okinawa Chubu Hospital, Japan.
Int Urol Nephrol. 1992;24(2):109-12. doi: 10.1007/BF02549636.
The authors report on 48 patients with calculous pyelonephritis. Urinary obstruction was caused by renal calculi in 21 patients and ureteral calculi in 27. Urine cultures were positive in 87.5% and bacteremia was seen in 70%. The common organisms in urine and blood culture were E. coli, Proteus and Klebsiella. Septic shock occurred in 10 (20.8%) out of 48 patients. Calculous pyelonephritis with urinary obstruction is a very serious condition.
作者报告了48例结石性肾盂肾炎患者。21例患者的尿路梗阻由肾结石引起,27例由输尿管结石引起。尿培养阳性率为87.5%,菌血症发生率为70%。尿培养和血培养中常见的微生物为大肠杆菌、变形杆菌和克雷伯菌。48例患者中有10例(20.8%)发生感染性休克。伴有尿路梗阻的结石性肾盂肾炎是一种非常严重的疾病。