妊娠期肾盂肾炎的诊断和治疗
Chinese Journal of Obstetric Emergency(Electronic Edition)(2012)
Abstract
<正>妊娠期间10%~20%的肾盂肾炎患者是在孕早期确诊,大部分发生在孕中期和孕晚期,主要与孕中晚期生理性肾积水和尿液淤滞有关。1%~4%妊娠妇女发生急性肾盂肾炎,高达20%~40%的无症状菌尿(asymptomatic bacteriuria)孕妇会发展为肾盂肾炎[1-3]。早期治疗无症状菌尿能够使急性肾盂肾炎的发生率降低90%[2]。妊娠期急性肾盂肾炎如未及时有效治疗,易发展成脓毒症(sepsis),病死率高,需要对妊娠期肾盂肾炎尽早正[2]
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