Martens M G
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Obstet Gynecol Clin North Am. 1989 Jun;16(2):305-15.
Pyelonephritis is a serious infection in pregnancy and is the consequence of undetected bacteriuria. When the diagnosis of pyelonephritis is made, immediate treatment is mandatory in the hope of preventing the potentially serious maternal and fetal sequelae. After successful treatment, careful surveillance and suppression are required for the remainder of the pregnancy. Moreover, owing to the high incidence of recurrences, both postpartum and during subsequent pregnancies, culture and radiologic investigations are warranted after delivery in an effort to detect underlying renal abnormalities.
肾盂肾炎是妊娠期的一种严重感染,是未被发现的菌尿症的后果。一旦诊断出肾盂肾炎,必须立即进行治疗,以期预防可能出现的严重母婴后遗症。治疗成功后,在孕期剩余时间需要进行仔细的监测和抑制。此外,由于产后及后续妊娠期间复发率很高,产后应进行培养和影像学检查,以努力发现潜在的肾脏异常。