Bartels O
MMW Munch Med Wochenschr. 1976 Feb 20;118(8):225-6.
Analysis of 10 case histories shows that the picture of the acute abdomen may predominate in acutely exacerbated pyelonephritis. Viscero-dermal reflexes with hyperalgesia and muscular defense, visero-visceral organ reflexes with shock, vomiting, meteorism and disturbances of intestinal motility and metabolic acidosis are temptations to laparotomy. Fever in particular, pathological urinalysis, renal acidosis and occasionally hyperchloremia suggest the diagnosis of "abdominal type of acutely exacerbated pyelonephritis".
对10例病历的分析表明，急性加重型肾盂肾炎可能以急腹症表现为主。伴有痛觉过敏和肌肉防御的内脏-皮肤反射、伴有休克、呕吐、腹胀及肠蠕动紊乱和代谢性酸中毒的内脏-内脏器官反射，均会使人倾向于进行剖腹手术。尤其是发热、病理性尿检、肾性酸中毒以及偶尔出现的高氯血症提示“腹部型急性加重型肾盂肾炎”的诊断。
