Pregnancy complicated with acute pyelonephritis diagnosis and treatment of 43 cases.doc

 PAGE \* MERGEFORMAT 7 Pregnancy complicated with acute pyelonephritis diagnosis and treatment of 43 cases [Keywords] Acute pyelonephritis Acute pyelonephritis is a common concurrent medical diseases during pregnancy, the incidence rate of pregnant women, 1% to 2% [1], acute pyelonephritis during pregnancy can be dangerous to pregnant women and fetuses, therefore, to prevent and treat acute pregnancy pyelonephritis is important. This collection from 2003 to 2008 admitted to hospital with acute pyelonephritis of pregnancy 43 patients, reported as follows. 1 Materials and Methods 1.1 General Information 43 patients were primipara, aged 19 to 31 years, the incidence of cycle 8 to 24 weeks pregnant, early pregnancy, of which 6 cases, 14%, the second trimester in 37 cases, 86%, duration 1 ~ 7 d, pre-pregnancy urine Road history of infection in 5 cases, 8 cases of urinary stones, no diabetes, history of tuberculosis. 1.2 Clinical manifestations 43 patients had high fever, low back pain and kidney area call pain (unilateral in 15 cases, bilateral 28 cases), and have varying degrees of frequency, urgency, dysuria, urination entirely sense, some accompanied by nausea, vomiting, body fatigue, headache. 1.3 auxiliary examination Blood: white blood cell count of 12.5 ~ 22 × 109 / L 40 patients, neutrophils 0.78 to 0.92 in 42 cases. Urine: white blood cells ( ~ ) 38 cases. Urine sediment examination: WBC 10 to 20 / HP, nitrite (+) 40. admission B-ultrasound hydronephrosis in 35 cases (right side in 29 cases, bilateral in 6 cases). clean urine culture: 6 cases due to drugs used outside the hospital before admission, urine culture negative, urine culture of more than 37 cases, 25 cases of bacteria coloniesgt; = 107 / L, 68%, 12 cases of bacterial colony countsgt; 200/mL, 32%. 1.4 Treatment 43 cases sent to stay in the urine specimen immediately after the bacterial culture and susceptibility antibiotic therapy, use the third-generation cephal