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頁籤選單縮合
題名 | Renal Abscesses:Analysis of 24 Cases=腎膿瘍:二十四病例之分析 |
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作者 | 蔡人文; 張峰義; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷期 | 8:2 1997.12[民86.12] |
頁次 | 頁132-136 |
分類號 | 415.74 |
關鍵詞 | 腎膿瘍; Renal abscess; |
語文 | 英文(English) |
中文摘要 | 腎膿瘍是泌尿道感染及敗血症潛在致命的併發症。它的發病一般是緩慢的,而且症狀是多變的,預後賴於早期診斷及充分的治療。這篇文章收集自1991至1996年在三軍總醫院確定診斷的腎膿瘍病例共24例加以分析,約半數病人有潛在糖尿病,其次為泌尿系統之疾病。常見的症狀包括發燒,畏寒、腰□疼痛和排尿症狀。所有膿瘍培養全是格蘭氏陰性菌,以大腸桿菌及肺炎克雷白氏桿菌佔大多數。除了抗生素及輸液支持外,4位(17%)病人接受手術治療,3位(13%)病人接受經皮引流再加外科手術引流,9位(38%)病人接受經皮引流手術,另外8位(33%)病人只接受抗生素治療。所有病人在接受治療後皆康復。如果在一有腎盂腎炎症狀的病人,有持續發燒及對抗生素治療無效,腎膿瘍是應考慮。 |
英文摘要 | Twenty four cases of renal abscesses were analyzed. A majority of the patients had underlying diabetes mellitus (46%) and urologic disorders (38%). Fever, chills, flank pain and voiding symptoms were common. All of the abscess culture showed gram-negative organism. Escherichia coli and Klebsiella pneumoniae accounted for most of the causative pathogens. Four patients (17%) underwent primary surgery. Three patients (13%) underwent percutaneous drainage plus secondary surgical drainage. Nine patients (38%) underwent percutaneous drainage. Eight patients (33%) underwent antibiotics and supportive treatment. All of the patients eventually recovered after treatment. Renal abscess should be considered if prolonged fever and non-response to antibiotic treatment occurs in a patient with symptoms of pyelonephritis. |
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