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目的总结肾皮质感染的诊治经验。方法回顾性分析抗炎治疗肾皮质化脓性感染患者16例。结果治疗3～4周体温、血WBC恢复正常,B超或CT示肾内占位缩小,随访2～4个月后肾内占位消失。结论综合评价病史、体检、影像检查和试验性治疗是诊断的关键,B超及CT在诊断中有重要意义,其中CT更为重要,使用敏感抗生素,抗生素的使用至少3～4周。
Objective To summarize the diagnosis and treatment of renal cortex infection. Methods A retrospective analysis of anti-inflammatory treatment of renal cortical purulent infection in 16 patients. Results After 3 to 4 weeks of treatment, the blood WBC returned to normal, and the B-ultrasound or CT showed the reduction of the renal occupancy. After 2 to 4 months of follow-up, the renal occupancy disappeared. Conclusion Comprehensive evaluation of medical history, physical examination, imaging examination and experimental treatment is the key to diagnosis. B-mode ultrasonography and CT are of great significance in the diagnosis. CT is more important, and sensitive antibiotics and antibiotics are used for at least 3-4 weeks.