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目的:18例糖尿病合并肾脏非特异性感染的临床资料进行回顾性分析.方法收集我院2009年1月~2014年6月期间住院的肾脏非特异性感染18例患者的资料,包括临床表现、合并症、实验室检查、细菌培养、影像学检查、治疗及预后.结果临床表现:18例患者平均糖尿病病程为11年(2~30年),合并感染至入院病程平均20天(2天~3月).18例患者均有发热表现(2例38.5,余均39OC以上).入院的主要症状及体征有腰部疼痛或肾区叩击痛10例(55%),寒战、高热13例(72%),恶心、呕吐5例(27%),尿频、尿急及血尿6例(33%).合并症:合并上尿路结石2例(非梗阻性).实验室检查、细菌培养:11例患者尿常规检查见白细胞.14例行尿细菌培养,10例阳性,大肠埃希菌7例,肺炎克雷伯杆菌3例.血细菌培养4例,2例阳性,为大肠埃希菌.影像学检查:1例行CT平扫,17例行CT平扫并增强检查,1例发现肾包块,CT增强发现肾脓肿5例.结论对于局限于肾皮质内小于5cm的脓肿保守治疗效果较好,但对于较大的脓肿,在积极对症治疗同时应及时有外科医师行穿刺或切开引流等外科治疗. “,”Objective 18 cases of diabetic patients with kidney infection nonspecific clinical data were retrospectively analyzed.Methods From our hospital in January 2009 June 2014 during kidney nonspecific information 18 cases of infected patients, including clinical manifestations, complications, laboratory tests, bacterial culture, imaging, treatment and prognosis.Results The clinical manifestations: 18 cases of patients with an average duration of diabetes was 11 years (2-30 years), the average duration of infection and admission to hospital 20 days (two days-March). 18 patients had fever performance (two cases 38.5, I have 39OC above). The main symptoms and signs on admission have back pain or kidney percussion pain 10 cases (55%), chills, fever 13 cases (72%), nausea, vomiting, 5 cases (27%), urinary frequency, urgency, and hematuria 6 cases (33%).Complications two cases of urinary tract stones on the merger (non-obstructive). Laboratory tests, bacterial cultures: 11 cases of patients with routine urine examination showed leukocytes. 14 routine urine bacterial culture, 10 cases positive, seven cases of Escherichia coli, Klebsiella pneumoniae three cases. Blood culture 4 cases, 2 cases positive for E. coli. Imaging: a routine CT scan, 17 routine CT scan and enhance the inspection, found one case of renal mass, CT enhancement found ifve cases of renal abscess. Conclusion: For the limited effectiveness of conservative treatment of renal cortical abscesses less than 5cm better, but for larger abscesses, actively symptomatic treatment should also be timely and surgeons puncture or incision and drainage and other surgical treatments.