Ramsey E W, Awad S A, Morrin P A
Can Med Assoc J. 1974 Jun 22;110(12):1366-8.
A case of emphysematous pyelonephritis with perirenal gas is presented. This patient underwent vigorous medical treatment followed by nephrectomy and survived. This condition has a high mortality and should be distinguished from less severe infections where gas is confined to the collecting system. This case and others previously reported suggest that treatment should initially be medical, followed by early surgical intervention consisting of either drainage or nephrectomy depending upon the degree of renal involvement.
本文报告一例伴有肾周积气的气肿性肾盂肾炎病例。该患者接受了积极的药物治疗，随后进行了肾切除术，最终存活下来。这种疾病死亡率很高，应与气体仅局限于集合系统的较轻感染相鉴别。本病例及先前报道的其他病例表明，治疗应首先采用药物治疗，随后根据肾脏受累程度，早期进行手术干预，包括引流或肾切除术。
