Check _'s treatment in diagnosis of abscess of kidney week

Check _'s treatment in diagnosis of abscess of kidney week
Week abscess of kidney was mainly broken by abscess in the kidney and entered for kidney week. So, the the pathogen and abscess while causing the kidney one is the same. About 25% of the cases, its abscess can train many kinds of pathogens. The muscle membrane of week of kidney usually confines abscess to the kidney around, abscess in onset factor and kidney.
Kidney abscess get up disease hide, clinical manifestation lack specificity, thus make early diagnosis to be very difficult week, it is 2- 3 the first for patient to seek medical advice, already present symptom. After this, diagnose that may be delayed several days. It is the most common symptom to generate heat, but begin to be often considered to be generating heat of unidentified reason, waist physical sign on it is important by or rib spine corner pain or tenderness,with or with belly or waist lump that be can touched.
Suffer from the intersection of side and the intersection of diaphragm and skin, might raise or fix, with ooze out with the pleura, in addition the patient can have chests to ache. Waist large myospasm cause the intersection of backbone and protruding side often ' Concave to turn towards and suffer from the side) ,So, the patient can present pain while bending over. Later period of abscess sign that pain lump of waist, skin red swelling are kidney week
Check in the laboratory:The inspection result of routine test lab is repeated and various. The blood can be seen the leucocyte and rise and have nuclear phenomenon of moving to left conventionally, there is anaemia at various degrees, the erythrocyte sedimentation rate rises. If the patient has other kidney trouble or dualth side pathological changes, may raise serum skin anhydride and blood urea nitrogen. The urine is analyzed there are pyuria and proteinuria, but there is not hematuria. The patients of 30% analyze liquid normally, 40% of the urine is trained negatively, only 40% present the positive result during cultivation of blood.
X-ray examination:Although chest, belly X-ray examination can't confirm diagnosis of abscess in week of the kidney, diagnose correctly that helpful. Chest X-ray examination might find skin raise and fix and pleura ooze out, accumulate suppuration, lung the intersection of abscess and lung lower leaf soak and one, pneumonia scar form etc., display with the intersection of side and diaphragm. Belly X-ray examination might find the intersection of backbone and protruding side ' Concave to turn towards and suffer from the side) , lump, kidney stone, kidney, greater psoas muscle lose normal outline and kidney, or kidney appear week gas or kidney fixed.
The image learns to check:The abscess person in week of most kidney, the excreting way radiography fault of urine can verify that it is unusual to suffer from the side kidney while photographing. Display, have, give much trouble kidney develop bad or develop and lump, kidney shift and renal pelvis or ureteral calculus, kidney one expand or block mainly ' Have or have no calculus) . But it is not the specific manifestation of abscess in week of kidney that the above image studies the characteristic.
Gallium ( ga67) Rafter acid salt or indium ( in111) of Chinese holly Showing the radioactive nuclide of track leucocyte scans the meaning in diagnostics not big, because they are time-consuming also can't distinguish kidney week abscess and other kidney trouble. The radiography of renal artery is not a specific diagnostic method of abscess of week of kidney, because it is that a has an achieving inspection method, its result is not superior to renal supersound and ct scanning either, so the artery radiography is seldom used for diagnosing week abscess of kidney.
It is an diagnosis inspection method of abscess in week of kidney that renal supersonic wave is checked, but ct scans the overall picture that can reflect pathological change even more. The manifestation of ct has soft tissue lump, among them ct value drops to unit 0- 20h, in cases not so enhanced as the radiography pharmaceutical, the inflammation abscess wall ct value drops slightly more; After injecting radiography pharmaceutical, the density of abscess wall is strengthened, the institutional framework level around disappears, the disease side kidney or greater psoas muscle is expanded, the muscle membrane of week of kidney is increased thick, the gas or angry liquid level appears in the focus. Punctured and can be confirmed and diagnosed and can investigate pathogens by the cover under the circumstances that ct guides.
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