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| 기종성 신우신염의 임상상 |
| 이강욱 , 이정호 , 정민수 , 이순구 , 신승훈 , 신영태 , 김영건 , 설종구 , 윤율로 |
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| Abstract |
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Emphysematous pyelonephritis is rare and life threatening suppuressive infectoin of renal parenchyma and perirenal tissue. The disease which is characterized by gas formation in renal and perirenal tissue, is en- countered mainly in patients with diabetes mellitus and obstrictive uropathy. We evaluated 7 patients with emphysematous pyelonephritis admitted in Chungnam National Univer- sity Hospital (CNUH) from 1982 to 1990. The results were as follows: 1) Mean age was 50 years old and 6 of 7 patients were women. 2) All 7 patients were suffered from diabetes mellitus. And fasting blood sugar levels of all patients were above 240 mg/dl. 3) Unilateral right renal involvement of em- physematous pyelonephritis was 4 cases, unilateral left involevemt were 2 cases and bilateral involvement was 1 cases. 4) In roentgenologic staging, 5 patients were stage II and 2 patients was stage UI. 5) Pathogenic organisms were E coli in 5 patients and Klebsiella in 3 patients. In one patient, E coli was cultured from urine and Klebsiella from blood culture simultaneously. 6) 3 patients were treated witb nephrectomy and other 3 patients were managed with incision and drain- age. This 6 patients with surgical treatment were recovered completely. But 1 patients managed with medicial treatment was dead due to progressive deterioration and sepis before surgical treatment. |
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