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onClick="document.getElementById('search').submit();" class="button" type="button" value="搜索"> </form> </div> </div> <div class="top_nav"> <a href="https://tag.120ask.com/jibing/sysy/" >概述</a> <a href="https://tag.120ask.com/jibing/sysy/bingyin/" >病因</a> <a href="https://tag.120ask.com/jibing/sysy/zhengzhuang/" >症状</a> <a href="https://tag.120ask.com/jibing/sysy/jiancha/" >检查</a> <a href="https://tag.120ask.com/jibing/sysy/jianbie/" >鉴别</a> <a href="https://tag.120ask.com/jibing/sysy/bingfa/" >并发症</a> <a href="https://tag.120ask.com/jibing/sysy/yufang/" >预防</a> <a href="https://tag.120ask.com/jibing/sysy/zhiliao/" class='cur'>治疗</a> <a href="https://tag.120ask.com/jibing/sysy/yinshi/" >饮食</a> <a href="https://tag.120ask.com/jibing/sysy/shiliao/" >饮食禁忌</a> <a href="https://tag.120ask.com/jibing/sysy/jingyan/" >经验</a> <a href="https://tag.120ask.com/jibing/sysy/wenzhang/" >文章</a> <a href="https://tag.120ask.com/jibing/sysy/list/" >问答</a> <a href="http://yp.120ask.com/search/?kw=%E8%82%BE%E7%9B%82%E8%82%BE%E7%82%8E" target='_blank'>药品</a> </div> <div class="cont-box"> <div class="left"> <div class="art_cont"> <h1>肾盂肾炎的治疗方法有哪些？</h1> <p>　　(一)一般治疗目的在于缓解症状，防止复发，减少肾实质的损害。应鼓励患者<a target='_blank' href="http://tag.120ask.com/zhengzhuang/duoyin/" style='color:#145b7d;text-decoration:underline;' >多饮</a>水，勤排尿，以降低髓质渗透压，提高机体吞噬细胞功能，冲洗掉膀胱内的细胞。</p><p>　　通常应鼓励患者多饮水、勤排尿，以降低髓质渗透压，提高机体吞噬细胞功能。有<a target='_blank' href="http://tag.120ask.com/zhengzhuang/fare/" style='color:#145b7d;text-decoration:underline;' >发热</a>等全身感染症状应卧床休息。服用碳酸氢钠1g，每日3次，可碱化尿液，减轻膀胱刺激刺激症状，并对氨基糖甙类抗生素、青霉素、红霉素及磺胺等有增强疗效作用，但可使四环素、呋喃咀啶的药效下降。有诱发因素者应治疗，如<a target='_blank' href="http://tag.120ask.com/jibing/shenjieshi/" style='color:#145b7d;text-decoration:underline;' >肾结石</a>、输尿管畸形等。抗感染治疗最好在尿细菌培养及药物敏感试验下进行。</p><p>　　(二)抗感染治疗</p><p>　　1.<a target='_blank' href="http://tag.120ask.com/jibing/jxsysy/" style='color:#145b7d;text-decoration:underline;' >急性肾盂肾炎</a> 因引起<a target='_blank' href="http://tag.120ask.com/jibing/nlgr/" style='color:#145b7d;text-decoration:underline;' >尿路感染</a>的主要细菌是革兰阴性菌，其中以大肠杆菌为主。初发的急性肾盂明炎可选用复方磺胺甲恶唑(SMZ-TMP)2片，日2次，或吡哌酸 0.5g，日3～4次，诺氟沙星0.2g，日3次，疗程7～14天。感染严重有<a target='_blank' href="http://tag.120ask.com/jibing/baixuezheng/" style='color:#145b7d;text-decoration:underline;' >败血症</a>者宜静脉给药。根据尿培养结果选用敏感药物。如头孢哌酮，阿米卡星毒素对葡萄球菌、克雷伯菌、变形杆菌，绿脓杆菌、大肠杆菌的敏感率均在90%以上。前者1～2g，每8～12小时1次，后者0.4g，每8～12小时1次。氟喹诺酮类药物对变形杆菌、枸橼酸杆菌及克雷伯菌敏感率在80%以上。哌拉西林、氨苄西林、呋啁妥因对D群肠球菌100%敏感。用法，前2者1～2，每6 时1次;后者0.1g，日3次。<a target='_blank' href="http://tag.120ask.com/jibing/zjgr/" style='color:#145b7d;text-decoration:underline;' >真菌感染</a>用酮康唑0.2g，日3次。或氟康唑50mg，日2次。</p><p>　　新生儿，婴儿和5岁以下的幼儿急性肾盂肾炎多数伴有泌尿道畸形和功能障碍，故不易根除，但有些功能障碍如膀胱输尿管返流可随年龄增长而消失。一次性或多次尿感在肾组织中形成局灶性疤痕，甚至影响肾发育，近年来主张用药前尽可能先做中段尿细胞培养，停药后第2、4、6周应复查尿培养，以期及时发现和处理。</p><p>　　2.<a target='_blank' href="http://tag.120ask.com/jibing/mxsysy/" style='color:#145b7d;text-decoration:underline;' >慢性肾盂肾炎</a> 急性发作者按急性肾盂肾炎治疗，反复发作作者应通过尿细菌培养并确定菌型，明确此次再发是复发或重新感染。</p><p>　　复发：指治疗后菌株转阴性，但在停药后的6周内再发，且致病菌和先前感染的完全相同。复发的常见原因有①尿路解剖上或功能上异常，引起尿流不畅。可通过静脉肾盂造影或逆行肾盂造影以明确之，如有明显解剖异常情况存在，需手术加以纠正。如果梗阻因素难以解除，则根据药敏选用恰当抗菌药治疗6周。②抗菌药选用不当或剂量和疗程不足，常易复发，可按药敏选择用药，治疗4周。③由于病变部位瘢痕形成，血流量差，病灶内抗菌药浓度不足，可试用较大剂量杀菌类型抗菌药治疗如先锋霉素、氨苄青霉素、羟苄青霉素、乙基因梭霉素等，疗程6周。</p><p>　　一年内如尿感发作在3次或3次以上的者又称复发性尿感，可考虑长程低剂量治疗。一般选毒性低的抗菌药物，如复方磺胺甲?唑或呋喃坦丁每晚一粒，服用1年或更长，约605患者<a target='_blank' href="http://tag.120ask.com/zhengzhuang/junniao/" style='color:#145b7d;text-decoration:underline;' >菌尿</a>转阴。男性因<a target='_blank' href="http://tag.120ask.com/jibing/qlxy/" style='color:#145b7d;text-decoration:underline;' >前列腺炎</a>引起复发者，宜同时治疗慢性前列朱炎，选用脂溶性抗菌药物如复方磺胺甲?唑;环内沙星0.5g，日2次;利福平0.45～0.6g，顿服，疗程宜长达3月。必要时手术切除病变(增生、<a target='_blank' href="http://tag.120ask.com/jibing/zl/" style='color:#145b7d;text-decoration:underline;' >肿瘤</a>)这前列腺。</p><p>　　如果经两个疗程的足量抗菌治疗后，尿菌仍持续阳性，可考虑长程低剂量治疗。一般采用复方新诺明或呋喃叮每晚一次，可以服用1年或更长，约60%患者菌转阴。</p><p>　　再感染：指菌尿转阴后，另一种与先前不同的致病菌侵入尿路引起的感染，一般在菌尿转阴6周后再发。妇女的尿感再发，85%是重新感染，可按首次发作的治疗方法处理，并嘱患患者重视尿感的预防。同时应全面检查，有无易感因素存在，予以去除。</p><br /> </div> <div class="portlet" id="yw0"> <div class="portlet-content"> <div class="baike_dl"> <h3 class="ti">相关百科</h3> <div class="lists"> <span><a href='https://tag.120ask.com/jibing/mxsy/' title='慢性肾炎'>慢性肾炎</a></span><span><a href='https://tag.120ask.com/jibing/jxsysy/' title='急性肾盂肾炎'>急性肾盂肾炎</a></span><span><a href='https://tag.120ask.com/jibing/mxsgnsj/' title='慢性肾功能衰竭'>慢性肾功能衰竭</a></span><span><a href='https://tag.120ask.com/jibing/jzxby/' title='间质性膀胱炎'>间质性膀胱炎</a></span><span><a href='https://tag.120ask.com/jibing/toutong/' title='头痛'>头痛</a></span><span><a href='https://tag.120ask.com/jibing/shenjieshi/' title='肾结石'>肾结石</a></span><span><a href='https://tag.120ask.com/jibing/pangguangyan/' title='膀胱炎'>膀胱炎</a></span><span><a href='https://tag.120ask.com/jibing/niaodaoyan/' title='尿道炎'>尿道炎</a></span><span><a href='https://tag.120ask.com/jibing/nlzjgr/' title='尿路真菌感染'>尿路真菌感染</a></span><span><a href='//tag.120ask.com/zhengzhuang/dixuejia/' title='低血钾'>低血钾</a></span><span><a href='//tag.120ask.com/zhengzhuang/dire/' title='低热'>低热</a></span><span><a href='//tag.120ask.com/zhengzhuang/dzxz/' title='氮质血症'>氮质血症</a></span><span><a href='//tag.120ask.com/zhengzhuang/sybz/' title='食欲不振'>食欲不振</a></span><span><a href='//tag.120ask.com/zhengzhuang/zlxndb/' title='直立性尿蛋白'>直立性尿蛋白</a></span><span><a href='//tag.120ask.com/zhengzhuang/mnxgr/' title='泌尿系感染'>泌尿系感染</a></span><span><a href='//tag.120ask.com/zhengzhuang/ndb/' title='尿蛋白'>尿蛋白</a></span><span><a href='//tag.120ask.com/zhengzhuang/duoniao/' title='多尿'>多尿</a></span><span><a href='//tag.120ask.com/zhengzhuang/srtjsycx/' title='肾乳头及肾盂出血'>肾乳头及肾盂出</a></span><span><a href='//tag.120ask.com/zhengzhuang/exin/' title='恶心'>恶心</a></span> </div> </div> <div style="margin-top:40px;">  <script type="text/javascript" src="//bdwmhz.120askimages.com/site/q_la/hr/source/ur_kr.js"></script> </div> <div class="ask_dl"> <h3 class="ti">肾盂肾炎相关问答</h3> <div class="li"> <a class="face" href="https://www.120ask.com/question/69322450.htm" onclick="_hmt.push(['_trackEvent', 'tag_jibing', 'wenda', 'tui_wenda']);" target="_blank"><img src="//u1.120askimages.com/2/5/6/66530652"/></a> <div> <a href="https://www.120ask.com/question/69322450.htm" onclick="_hmt.push(['_trackEvent', 'tag_jibing', 'wenda', 'tui_wenda']);" target="_blank">得了急性肾盂肾炎怀孕怎么办</a> <span>病情分析：孕期肾盂肾炎，应明确后积极治疗，一般对胎儿影响不大，但感染严重的话，对孕妇有较大影响，指导意见：明确感染，应积极治疗，可应用青霉素，氨苄西林等控制，避免应用致畸药物，日常多饮水，注意休息，加强卫生，</span> </div> </div> <div class="li"> <a class="face" href="https://www.120ask.com/question/70352799.htm" onclick="_hmt.push(['_trackEvent', 'tag_jibing', 'wenda', 'tui_wenda']);" target="_blank"><img src="//u1.120askimages.com/3/5/1/83436153"/></a> <div> <a 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