气肿性肾盂肾炎：最佳诊断与治疗

Emphysematous pyelonephritis: optimal diagnosis and treatment.

作者信息

Lautin E M, Gordon P M, Friedman A C, Dourmashkin L, Fromowitz F

出版信息

Urol Radiol. 1979;1(2):93-6. doi: 10.1007/BF02926608.

Abstract

A case of emphysematous pyelonephritis is presented in which computerized tomography (CT) both confirmed the diagnosis and demonstrated extension of the gas to the region of the adrenal glands and inferior cava. The etiology and pathogenesis of emphysematous pyelonephritis is discussed. Radiologic evaluation of this disease should be prompt and noninvasive. Plain films establish the diagnosis, isotope scanning assesses function of the opposite kidney, and CT demonstrates the full extent of the pathological process and confirms the diagnosis. Aggressive treatment is recommended.

摘要

本文报告了一例气肿性肾盂肾炎病例，其中计算机断层扫描（CT）既确诊了该病，又显示气体延伸至肾上腺和下腔静脉区域。文中讨论了气肿性肾盂肾炎的病因和发病机制。对这种疾病的放射学评估应迅速且无创。平片可确立诊断，同位素扫描可评估对侧肾脏的功能，而CT则可显示病理过程的全貌并确诊。建议采取积极的治疗措施。