[儿童急性局灶性细菌性肾炎的诊断和治疗]。

Zhonghua er ke za zhi = Chinese journal of pediatrics Pub Date : 2024-04-16 DOI:10.3760/cma.j.cn112140-20231121-00384

Y. Chen, Z. H. Yu

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引用次数: 0

摘要

急性局灶性细菌性肾炎（AFBN）是一种局限于肾实质的细菌性感染。AFBN临床表现缺乏特异性；其影像学特征是肾脏超声显示肾实质内局灶性病变、皮髓质分界不清，增强CT示肾实质内楔形低密度灶，病变在增强MRI的T2W呈低信号、增强后T1W呈低强化。当急性肾盂肾炎患儿经抗菌药物治疗后发热持续时间≥48 h、白细胞尿持续时间超过4 d、血清白细胞介素6、干扰素γ显著增高时要疑诊AFBN；若发现AFBN影像学特征性改变，则可诊断为AFBN。AFBN的抗菌药物疗程至少为3周。.

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[Diagnosis and treatment of acute focal bacterial nephritis in children].

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Zhonghua er ke za zhi = Chinese journal of pediatrics

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