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临床上常碰到一些久治不愈的肾盂肾炎病人,我们称为“难治性”肾盂肾炎。本文试就其常见原因结合临床体会分析如下。一、病情严重、病变广泛肾盂肾炎病情轻重不等,病变有局限与广泛之分。凡病情严重、病变广泛者治疗也相对地较困难。例1:女性,38岁,住院号52,113。病人1965年患肾盂肾炎,每年均有多次复发。1978年6月5日入院。化验:尿常规:红、白细胞满视野,蛋白卅,非蛋白氮110毫克%。入院后应用多种抗菌素,症状不见缓解,病情迅速发展,最终死于慢性肾功能衰竭。尸检见双肾萎缩并有肾盂积脓。肾盂肾炎发展为尿毒症,在当前尚无有效疗法。此例虽经积极治疗,终究没能挽救病人生命,故应提倡早期诊断,早期治疗。
Clinically often encounter some persistent pyelonephritis patients, we call “refractory ” pyelonephritis. This article tries to analyze its common reasons combined with clinical experience are as follows. First, the serious condition, extensive disease range of severity of pyelonephritis, lesions have limitations and a wide range of points. Where a serious condition, extensive disease treatment is relatively more difficult. Example 1: Female, 38 years old, hospital number 52,113. Patients suffering from pyelonephritis in 1965, many times each year recurrence. June 5, 1978 admission. Laboratory tests: Urine routine: red, white blood cells full field, protein 卅, non-protein nitrogen 110 mg%. Application of a variety of antibiotics after admission, the symptoms were not alleviated, the rapid development of the disease, and ultimately died of chronic renal failure. Autopsy showed renal atrophy and pyogenic renal pelvis. Pyelonephritis develops into uremia, there is no effective therapy. Although this case has been actively treated, after all, failed to save the lives of patients, it should promote early diagnosis and early treatment.