北京大学学报(医学版) ›› 2025, Vol. 57 ›› Issue (4): 812-816. doi: 10.19723/j.issn.1671-167X.2025.04.030

• 短篇论著 • 上一篇    

气肿性肾盂肾炎:单中心经验总结

徐啸, 王海东*(), 刘振华, 夏海缀   

  1. 首都医科大学附属北京积水潭医院泌尿外科,北京 100035
  • 收稿日期:2025-02-28 出版日期:2025-08-18 发布日期:2025-08-02
  • 通讯作者: 王海东

徐啸, 王海东*(), 刘振华, 夏海缀   

  • Received:2025-02-28 Online:2025-08-18 Published:2025-08-02
  • Contact: 王海东

RICH HTML

  

中图分类号: 

  • R692.7

图1

1例左肾EPN患者的CT平扫结果,分级ⅢB级"

表1

患者就诊时主要实验室检查结果(n=13)"

Parameters Value
White blood cell/(×109/L),${\bar x}$±s 13.82 ± 5.92
Neutrophil/(×109/L),${\bar x}$±s 11.68 ± 5.09
Platelet/(×109/L),${\bar x}$±s 326.25 ± 177.69
Hemoglobin/(g/L),${\bar x}$±s 92.67 ± 23.42
C-reactive protein/(mg/L),${\bar x}$±s 186.74 ± 101.92
Procalcitonin/(μg/L), M(P25P75) 3.97 (0.19, 11.46)
Serum creatinine/(mmol/L),${\bar x}$±s 146.75 ± 95.55
Blood glucose/(mmol/L),M(P25P75) 8.20 (6.08, 15.93)

表2

患者致病菌分布(n=13)"

Pathogens Cases, n (%)
Escherichia coli 5 (38.5)
Klebsiella pneumoniae 5 (38.5)
Culture-negative 2 (15.3)
No culture performed 1 (7.7)

表3

患者各种手术方式统计(n=12)"

Surgical procedure Cases, n (%)
Minimally invasive surgery 7 (58.3)
  PCN 2 (28.7)
  DJ stent placement 2 (28.7)
  PCD 1 (14.2)
  Initial DJ stent placement → PCN 1 (14.2)
  PCN+PCD 1 (14.2)
Open drainage 5 (41.7)
  Perirenal VSD 3 (60.0)
  Perirenal VSD + PCN 1 (20.0)
  Perirenal VSD + DJ stent placement 1 (20.0)

图2

1例右肾EPN患者的术前、术后及出院前的临床资料,分级ⅢA级"

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