How do you check the so-called acute pyelonephritis? Acute pyelonephritis, acute infectious disease refers to the mucous membrane of renal pelvis and renal parenchyma, mainly Escherichia coli infection, and Bacillus Proteus, Staphylococcus aureus, Streptococcus faecalis and Pseudomonas aeruginosa caused.
Acute pyelonephritis how do you check?
(1) laboratory examination:
The total number of white blood cells in the blood and lobocyte increased rapidly, esr. There is a small amount of protein in urine, a number of red blood cells, a large number of pus cells, occasionally see the tube type. Urinary sediment smear staining can find the pathogenic bacteria, bacterial culture positive. In order to select the appropriate antibiotics in clinic, we should also make antibiotic sensitivity test and colony counting. When the patient has symptoms of sepsis, blood culture;
(2) X-ray examination:
Abdominal radiograph in acute pyelonephritis, because of renal abscess, while the kidney shape is not clear, but sometimes there is no clear intrapelvic shadow of urinary calculi suspicious. Intravenous urography can be found to delay the development of renal pelvis and renal pelvis weakened. It is sometimes seen that the upper ureter and the renal pelvis are mildly dilated, not because of obstruction, but because of bacterial endotoxins that interrupt the assembly system. In acute renal infection during the application of anti ascending urography, so as to avoid the spread of inflammation;
(3) CT scan:
Acute pyelonephritis patients underwent renal CT plain scan and enhanced scan showed that, most of the ipsilateral kidney shape swollen big, visible sector enhancement reduced area from the collection system to release the renal capsule;
(4) type B ultrasonography:
Shows that the renal cortex medulla is not clear, and there is lower than normal echo area.
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