Check _'s treatment in diagnosis of the suppurative infection of cortex of kidney

Check _'s treatment in diagnosis of the suppurative infection of cortex of kidney
Diagnosis
Except above-mentioned medical history, clinical the intersection of symptom and physical sign outside, combine testing laboratory check and the image is studied and checked and can be confirmed and diagnosed.
Check in the laboratory
Total number of leucocytes and neutral cells are raised in the blood, it is positive that the blood is trained. Have no leucocyte in the early urine, when infecting and expanding to the renal pelvis, can find the leucocyte in the urine. It is the same that the result that the urine trains answers and trains as the blood. B Exceed, lead, down, puncture, release suppuration can find pathogens to train.
Other auxiliary examination
The image learns to check The image learns to check and have different manifestation on the basis of intensity of pathological change.
( 1) Acute office cooking stove bacterial nephritis: The flat sheet of belly is not obviously unusual. The way radiography of the intravenous urine is helped certainly, a few patients can present kidney one of renal pelvis and is pressed. B Exceed and check and show the cooking stove low echo area of the kidney essence round, unclear in the border. CT checks for the substantive lump of low density. The density irregularity is strengthened after strengthening, still lower than the normal kidney to organize, unclear in the border of lump, wall that the demarcation line different from cortex abscess of kidney being formed by new born blood vessel is clear. Have literature report CT show the intersection of kidney and limitation swelling having a plurality of the intersection of aspect and the intersection of kidney and the intersection of muscle and membrane it increases thick to be whether disease this determine the nature diagnosis basis essence.
( 2) Cortex abscess of kidney: The flat sheet of belly reveals that suffers from the side kidney to increase, edema makes the kidney shadow fuzzy around the kidney, the shade of greater psoas muscle is not clear or disappear. When abscess breaks to the kidney around, the side of lumbar vertebrae is curved. The way radiography of the intravenous urine can reveal it is out of shape that kidney one of renal pelvis is pressed. B Type supersound: Reveal the irregular abscess outline, abscess is the low echo area, or the mixing echo area, the echo skew of kidney sinus, slightly protruding to the edge of kidney. CT kidney scans and reveals the irregular low density focus of cortex of kidney, CT value between cyst and tumour, strengthen CT and scan the edge and strengthen obviously, the centre portion has not been strengthened. Kidney capsule, kidney the intersection of muscle and membrane increase thick week, with near organizing interface to disappear. The kidney of radioactive nuclide scans: Reveal the kidney takes pathological change in the location, the flawed or damaged district of kidney is similar to kidney cyst, can be pointed out and infected the tissue with Ga.
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