论文部分内容阅读
尿路感染常发生于慢性肾衰者中,其原因为宿主防御改变,尤其在维持血透患者中更是如此。作者研究了慢性肾衰患者(尤其是少尿患者)尿路感染的发病率及临床意义。共研究182例慢性肾衰,男性99例(54％),女性83例(46％),原发性肾疾患包括138例慢性肾炎(76％,224份标本),15例糖尿性肾病(8％,21份标本)和12例慢性肾盂肾炎或肾感染性疾病(7％,13份标本)。由每个患者取1～6个标本(总数为376份),用常规尿分析法和尿培养研究。有明显细菌尿的定义为菌落计数>10~5/ml,脓尿定义为离心沉淀的白细胞>10个/HPF,尿路感染的定义为1个或几个受检标本有明显细菌尿和脓尿;出现尿路感染,包括急性膀胱炎及急性肾盂肾炎临床征
Urinary tract infections often occur in patients with chronic renal failure, the reason for the host defense changes, especially in the maintenance of hemodialysis patients even more so. The authors studied the incidence and clinical significance of urinary tract infections in patients with chronic renal failure (especially oliguric patients). A total of 182 patients with chronic renal failure were studied, including 99 (54%) males and 83 (46%) females. The primary nephrotic syndromes included 138 chronic glomerulonephritis (76%), 224 diabetic nephropathy %, 21 specimens) and 12 patients with chronic pyelonephritis or renal infection (7%, 13 specimens). One to six specimens (376 in total) were taken from each patient and studied by routine urinalysis and urine culture. Clear bacterial urine is defined as colony count> 10 ~ 5 / ml, pyuria is defined as> 10 precipitated white blood cells / HPF, urinary tract infection is defined as one or several of the specimens examined have significant bacterial urine and pyuria; Urinary tract infections, including acute cystitis and acute pyelonephritis clinical signs