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老年患者急性双侧非梗阻性细菌性肾盂肾炎伴急性肾损伤:非侵入性研究在其诊断中的作用。

Acute bilateral non-obstructive bacterial pyelonephritis with acute kidney injury in the elderly: role of non-invasive studies in its diagnosis.

机构信息

Department of Nephrology, Srivenkateswara Institute of Medical Sciences, Tirupati, Andhrapradesh 517507, India.

出版信息

Int Urol Nephrol. 2011 Sep;43(3):919-23. doi: 10.1007/s11255-011-0031-x. Epub 2011 Jul 12.

DOI:10.1007/s11255-011-0031-x
PMID:21748264
Abstract

Nine elderly patients who presented with features suggestive of acute pyelonephritis were studied with the help of laboratory and imaging investigations. All patients had acute kidney injury of variable severity at presentation. Renal imaging helped us in revealing bilateral involvement and the findings are discussed. The infection was treated with appropriate antibiotics. Because of severe renal failure, five patients were supported with hemodialysis, of them, three became dialysis independent. The remaining two patients were dialysis dependent at discharge. However, none of them came to us for follow-up.

摘要

我们对 9 名出现急性肾盂肾炎特征的老年患者进行了研究,借助实验室和影像学检查。所有患者在就诊时均有不同程度的急性肾损伤。肾脏影像学检查有助于发现双侧受累,讨论了相关发现。感染采用适当的抗生素进行治疗。由于严重的肾衰竭,有 5 名患者接受了血液透析支持,其中 3 名患者不再依赖透析。其余 2 名患者在出院时仍依赖透析。然而,他们都没有来随访。

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本文引用的文献

1
Acute kidney injury in elderly persons.老年人急性肾损伤。
Am J Kidney Dis. 2010 Jul;56(1):122-31. doi: 10.1053/j.ajkd.2009.12.034. Epub 2010 Mar 25.
2
The characteristics of acute pyelonephritis in geriatric patients: experiences in rural northeastern Taiwan.老年患者急性肾盂肾炎的特征:台湾东北部农村地区的经验
Tohoku J Exp Med. 2008 Jan;214(1):61-7. doi: 10.1620/tjem.214.61.
3
Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury.急性肾损伤网络:改善急性肾损伤预后的倡议报告
Crit Care. 2007;11(2):R31. doi: 10.1186/cc5713.
4
Diagnosis and management of acute pyelonephritis in adults.成人急性肾盂肾炎的诊断与管理
Am Fam Physician. 2005 Mar 1;71(5):933-42.