摘要
目的探讨气肿性肾盂肾炎(Emphysematous pyelonephritis,EPN)的诊断与鉴别诊断要点,减低误诊可能。方法对1例EPN并感染性休克患者进行分析及相关文献学习。结果本例以休克急诊入院,外院诊断为重症感染,为求进一步治疗转入本院,经检测血糖、血常规、超声双肾检查及CT双肾检查确诊为感染性休克、EPN、糖尿病,予以抗感炎、控制血糖及对症支持治疗,同时行超声引导下肾穿刺引流术,患者尿量逐渐增多,生命体征基本稳定。结论EPN临床少见,进展迅速,病死率高,易误诊。加强对EPN图像的认识,达到影像学检查及早提示的效果。
Objective To investigate the diagnostic characteristics and the differential diagnosis of emphysematous pyelonephritis(EPN), and to prevent misdiagnosis. Methods The data of a case of EPN were retrospectively analyzed, and the literatures were reviewed. Results This case was admitted to the emergency department because of shock, and was diagnosed with severe infection by the other hospital;in order to get further treatment, this case was transferred to our hospital, and confirmed with septic shock, EPN, and diabetes by blood glucose, blood routine, and ultrasonography and CT of kidneys. The patient’s urine volume was increasing gradually, and his vital signs were basically stable after anti-inflammatory, blood glucose control, symptomatic supportive treatment, and ultrasound-guided renal puncture drainage. Conclusions EPN is rare in clinical infection, and it progresses rapidly, has high mortality, and is misdiagnosed easily. The understanding of the image of EPN should be improved to achieve the effect of early warning with image examination.
作者
梁雁
黄君
Liang Yan;Huang Jun(Department of Ultrasonography, Frist Hospital, Jinan University, Guangzhou 510630, China)
出处
《国际医药卫生导报》
2019年第5期792-794,共3页
International Medicine and Health Guidance News
