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[孤立性肾囊肿作为儿童脓毒症的一个病灶]

[Solitary renal cyst as a focus of sepsis in a child].

作者信息

Vinz H

出版信息

Z Urol Nephrol. 1977 Oct;70(10):727-32.

PMID:595922
Abstract

Report on a 9-year-old boy with infected solitary cyst of the kidney on the left, resulting from this chronic relapsing sepsis with abscess of the spleen, perforation of the abscess into the left subphrenium, subphrenical abscess, basic empyema of the pleura on the left, purulent system of the fistulae in the left upper retroperitoneum. Causative organism: staphylococcus aureus. After 6 successless attempts to command the process from the flank side section, the transperitoneal radical operation with extirpation of the spleen, resection of the cyst and removal of the left upper retroperitoneum was carried out. After transient improvement acute relapse of the sepsis after 6 months with subcutaneous abscesses and empyema of the ankle joint on the left. Causative organism again staphylococcus aureus. Under repeated surgical, antibiotical and general treatment rapid and final disappearing of the sepsis. Since 3 1/2 years free from recidivation.

摘要

关于一名9岁男孩的报告,其左肾孤立性囊肿感染,病因是慢性复发性败血症伴脾脓肿、脓肿穿破至左膈下、膈下脓肿、左侧胸腔基本脓胸、左上腹膜后瘘管脓性系统。致病微生物:金黄色葡萄球菌。在从侧面切开6次尝试控制病情均失败后,进行了经腹根治性手术,切除脾脏、囊肿并清除左上腹膜后组织。术后短暂好转,但6个月后败血症急性复发,伴有左侧皮下脓肿和踝关节脓胸。致病微生物再次为金黄色葡萄球菌。经过反复手术、抗生素及综合治疗,败血症迅速彻底消退。至今已3年半未复发。

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