20xx年醫(yī)學(xué)專題—泌尿道感染(七年制)-文庫(kù)吧
2025-10-28 18:02 本頁(yè)面
【正文】 十三頁(yè)。,西醫(yī)(xīyī)病理,急性病例 尿路粘膜及腎間質(zhì)受損，腎小球一般不受累。較重者可見(kěji224。n)散在的潰瘍及小膿腫.,第十五頁(yè)，共五十三頁(yè)。,There was a large renal calculus (stone) that obstructed the calyces of the lower pole of this kidney, leading to a focal hydronephrosis (dilation of the collecting system). The stasis from the obstruction and dilation led to infection. The infection with inflammation is characterized by the pale yellowishtan areas next to the dilated calyces with hyperemic mucosal surfaces. The upper pole is normal and shows good corticomedullary demarcations.,第十六頁(yè)，共五十三頁(yè)。,西醫(yī)(xīyī)病理,慢性病例 可見(kěji224。n)不規(guī)則的疤痕和萎縮，腎實(shí)質(zhì)廣泛破壞者，腎功能嚴(yán)重受損。,第十七頁(yè)，共五十三頁(yè)。,第十八頁(yè)，共五十三頁(yè)。,Chronic pyenephritis. Note the irregularly scared kidney, dilated and blunted calices.,第十九頁(yè)，共五十三頁(yè)。,Chronic pyenephritis broad scars in a patient with chronic VUR.,第二十頁(yè)，共五十三頁(yè)。,The large collection of chronic inflammatory cells here is in a patient with a history of multiple recurrent urinary tract infections. This is chronic pyelonephritis.,第二十一頁(yè)，共五十三頁(yè)。,總結(jié)(zǒngji233。)西醫(yī)病因病機(jī)病理,細(xì)菌：大腸桿菌多 感染途經(jīng)：上行 宿主因素：生理特點(diǎn)、畸形(jīx237。ng)、免疫抑制 劑 病理：上尿路感染－－－腎盂腎炎,第二十二頁(yè)，共五十三頁(yè)。,中醫(yī)(zhōngyī)病因病機(jī),外感濕熱 濕熱郁結(jié) 內(nèi)蘊(yùn)濕熱 病后失調(diào) 膀胱(p225。ng guāng)氣化不利 脾腎氣虛 淋證 先天不足 腎陰虧耗 病位在腎與 膀胱，與肝相關(guān),肝郁(ɡān y249。)氣滯,肝失疏瀉,第二十三頁(yè)，共五十三頁(yè)。,臨床表現(xiàn),癥狀(
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