再谈肾及肾周脓肿
Renal and Perinephric Abscesses Revisited.
作者信息
Rai R S, Karan S C, Kayastha A
机构信息
Classified Specialist (Surgery & Urology), Command Hospital (Northern Command), C/O 56 APO.
Senior Advisor (Surgery & Urology), Army Hospital, Delhi Cantt 110 001.
出版信息
Med J Armed Forces India. 2007 Jul;63(3):223-5. doi: 10.1016/S0377-1237(07)80139-0. Epub 2011 Jul 21.
BACKGROUND
This study was carried out to assess the spectrum of renal and perinephric space infection among urology patients admitted in the last three years.
METHODS
Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed.
RESULTS
Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study.
CONCLUSION
Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.
背景
本研究旨在评估过去三年收治的泌尿外科患者中肾脏及肾周间隙感染的情况。
方法
回顾了患有肾及肾周脓肿和气肿性肾盂肾炎患者的病历。
结果
在过去三年收治的2278例患者中，29例（1.2%）患有肾脏及肾周间隙感染，13例（45%）有肾脓肿，11例（38%）有肾周脓肿，5例（17%）有气肿性肾盂肾炎。16例（55%）患者经保守治疗康复，9例（31%）患者需要经皮穿刺引流脓肿，其余4例（14%）接受了手术探查。本研究的总死亡率为14%。
结论
肾脏及肾周间隙感染仍然是一个严重的泌尿外科问题，死亡率很高。高度的怀疑指数、及时的诊断、适当的抗生素和手术干预可能有助于降低死亡率。
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