肾皮质多发性脓肿

　　肾皮质多发性脓肿，主要的致病菌有革兰阳性球茵和革兰阴性杆菌或结核杆菌。多在肾结石、肾结核、肾盂肾炎、肾积水等疾病的基础上。并发化脓性感染而形成。

　　肾皮质多发性脓肿除了一般症状外，还会引起其他疾病，本病如不积极治疗，或误诊误治，可并发肾周脓肿等症。所以一经发现，需积极治疗，平时也应做好预防措施。

　　肾皮质多发性脓肿多发生于20～40岁，男性多于女性。典型的表现有突然寒颤、发烧、肾区疼痛及触痛。疾病早期脓肿与肾脏引流系统不相通，可没有排尿不适的感觉。检查时会发现肾区饱满、上腹部有压痛并可摸到包块。

　　肾皮质多发性脓肿多在肾结石、肾结核、肾盂肾炎、肾积水等疾病的基础上。并发化脓性感染而形成。预防肾皮质多发性脓肿要积极治疗原发病，预防感染的发生。

　　More than 90% of multiple renal cortical abscesses are caused by Staphylococcus aureus infections, which are often from other infection sites in the body through blood infection. What are the examination methods for multiple renal cortical abscesses?

　　Cystoscopy can see the affected ureteral orifice spraying purulent urine. B-ultrasound shows renal pelvis abscess. Excretory urography or radionuclide renal scan suggests the decreased or lost function of the affected side. Right renal abscess needs to be differentiated from purulent cholecystitis. Blood routine examination shows an increased white blood cell count, and urine test can be normal. CT scan can make an accurate diagnosis.

　　More than 90% of multiple renal cortical abscesses are caused by Staphylococcus aureus infections. Patients with multiple renal cortical abscesses should pay more attention to their diet. The following introduces the dietary taboos for patients with multiple renal cortical abscesses.

　　1、花生

　　Hard to digest, avoid eating too much of this kind of food.

　　2、小麻椒

　　Dyspepsia, spleen and stomach weakness, and malnutrition due to the loss of qi and body fluid, leading to the malnutrition of the internal organs.

　　3、姜

　　It belongs to a刺激性 seasoning. It has no nutritional value.

　　Multiple renal cortical abscesses are mainly caused by Staphylococcus aureus spreading through the blood from a distant focus of infection (often skin infection). How to treat multiple renal cortical abscesses? The following introduces the treatment methods for multiple renal cortical abscesses.

　　Traditional treatment measures are a combination of antibiotics and surgical drainage. Recently, the use of antibiotics alone has successfully cured multiple renal cortical abscesses. New penicillin II and new penicillin III, recommended for Staphylococcus aureus infections, are 100-200mg/kg, intravenous injection, once every 4 hours. Vancomycin, 1g intravenous injection, once every 12 hours. Cephalosporin V, 2g intravenous injection, once every 8 hours. The above antibiotics can be rotated, intravenous injection for 10-14 days, then changed to oral administration, for 14-28 days. If there is no improvement in the condition after 48 hours of treatment, it should be considered as resistant strain infection or accompanied by other diseases, such as concurrent perirenal abscess. At this time, it is necessary to puncture and drain the abscess under the guidance of ultrasound or CT. If there is no significant improvement in the condition after drainage, surgical operation is needed.