Pyelonephritis patients, the effective antibiotic therapy, general symptoms
significantly improved in 2 ~ 3 days, if not improved, the symptom is
aggravating, with persistent high fever, blood cells increased significantly,
consideration should be given to the occurrence of complications.Pyelonephritis
common complications include:
(1) the nipple necrosis: is one of the serious complications, often occurs in
patients with diabetes or urinary tract obstruction, pyelonephritis, can be
complicated with sepsis or lead to acute renal failure.
(2) the surrounding renal abscess: extension to directly by the acute
pyelonephritis, accounted for 90%, pathogenic bacteria are gram-negative
bacilli, e. coli in common, more than there is in the unfavorable factors such
as diabetes, urinary stones, the patient often appear unilateral lumbar pain and
tenderness, to the healthy side bending, pain.Treatment appropriate USES
powerful antibiotics, strengthen the support treatment, or the incision
drainage.
(3) concurrent infectious: stones of composition is given priority to with
magnesium ammonium phosphate, this is because the proteus contains urea enzyme,
such as urea, which can decompose urine urea alkaline, and phosphate
significantly lower solubility in alkaline urine, yi and the formation of
magnesium ammonium phosphate precipitation and apatite stones.
(4) gram-negative bacillus sepsis develops in acute seriousness,
pyelonephritis, performance with disaster, all of a sudden chills, fever, cause
shock, mortality was 50%, should actively provide strong antibiotics, strengthen
the support treatment.
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