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气肿性肾盂肾炎是比较稀少的疾患,本文作者报道了由CT证实的二例,并复习了有关文献。二例均为女性,有糖尿病史,主诉为恶心呕吐、发热和腹痛入院。入院检查BuN、Cr均升高,尿糖卄-卅,腹部平片和IVP示肾区有不规则气肿阴影,肾周围有带状气肿阴影。CT中,病肾破坏明显,肾实质及肾周围有广泛的气肿现象,从矢状断面和冠状断面确定了病变部位。手术作肾切除,见肾实质内有广泛坏死,脓液培养1例为大肠杆菌,1例为克雷伯氏菌。作者指出,气肿性肾盂肾炎(emphysematous
Emphysema pyelonephritis is a relatively rare condition, the authors reported two cases confirmed by CT, and reviewed the literature. Both cases were female with a history of diabetes. The chief complaint was nausea and vomiting, fever and abdominal pain. Admission examination BuN, Cr were elevated, urinary bladder 卅 - 卅, abdominal plain film and IVP showed kidney irregular shadow of emphysema, banded edema shadow around the kidney. CT, renal disease was significantly damaged, renal parenchyma and kidney around a wide range of emphysema, from the sagittal and coronal sections to determine the lesion. Surgery for nephrectomy, see the renal parenchyma with extensive necrosis, pus culture 1 case of Escherichia coli, Klebsiella pneumoniae 1 case. The authors point out that emphysematous pyelonephritis (emphysematous