Klein F A, Smith M J, Vick C W, Schneider V
South Med J. 1986 Jan;79(1):41-6. doi: 10.1097/00007611-198601000-00013.
Emphysematous pyelonephritis is a rare life-threatening bacterial infection usually occurring in patients with diabetes mellitus and producing gas within the renal parenchyma and/or perirenal tissue. We add four cases to the 62 previously reported in the literature. The overall mortality is 38%, with only 29% survival for those treated medically compared to 71% for those given both medical and surgical treatment. Early diagnosis with the aid of renal ultrasonography and/or computerized axial tomography and aggressive early combined medical-surgical management are emphasized.
气肿性肾盂肾炎是一种罕见的危及生命的细菌感染，通常发生在糖尿病患者中，可在肾实质和/或肾周组织内产生气体。我们在文献中先前报道的62例基础上又增加了4例。总体死亡率为38%，药物治疗患者的生存率仅为29%，而接受药物和手术联合治疗的患者生存率为71%。强调借助肾脏超声和/或计算机断层扫描进行早期诊断以及积极的早期药物 - 手术联合治疗。
