泌尿生殖道感染(編輯修改稿)
2025-08-19 07:55 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 gle tenderness Palpation or percussion over the costovertebral angle on the affected kidney usually causes pain. The patient sometimes has abdominal distention, tenderness, and a quiet intestine Dignosis 1 Laboratory findings: Leukocytosis Pyuria, Bacteriuria, Proteinuria, Hematuria Quantitative urine culture Total renal function Dignosis 2 ?Imaging: ?Plain film ?Excretory urograms . ?Voiding cystogram ?CT ?Ultrasonography ?Radionuclide Differential Diagnosis ?Pancreatitis ? Basal pneumonia ? Acuteintraabdominal disease ?Women pelvic inflammatory diseaseand acute prostatitis ?Renal abscess ?Perinephric abcess. Treatment 1 Antimicrobial drugs: The appropriate intravenous treatment Oral drug Repeat urine cultures Treatment 2 Specific measures: Any plicating factors (eg. obstructive urography) Prostatitis Types of protatitis Drach (1978) (1) acute and chronic bacterial prostatitis, (2) nonbacterial prostatitis (3) prostatodynia. NIDDK categorization and Drach classification NIDDK Classification (1995) Drach classification (1978) Category 1 Acute bacterial prostatitis Acute bacterial prostatitis Category 2 Chronic bacterial prostatitis Chronic bacterial prostatitis Category 3 Chronic pelvic pain syndrom 3a Inflammatory type Nonbacterial prostatitis 3b Noninflammatory type Prostatodynia Category 4 Asymptomatic inflammatory prostatitis Diagnostic techniques The expressed prostatic secretions (EPS) Leukocytes 10 per highpower field (hpf) The 4glass test (Stamey 1968) Urethritis Cystitis prostatitis VB1 + +/ /+ VB2 + EPS /+ + (10 times than VB1) VB3 /+ +
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