{"title":"[Diagnosis and treatment of acute focal bacterial nephritis in children].","authors":"Y. Chen, Z. H. Yu","doi":"10.3760/cma.j.cn112140-20231121-00384","DOIUrl":null,"url":null,"abstract":"\n 急性局灶性细菌性肾炎(AFBN)是一种局限于肾实质的细菌性感染。AFBN临床表现缺乏特异性;其影像学特征是肾脏超声显示肾实质内局灶性病变、皮髓质分界不清,增强CT示肾实质内楔形低密度灶,病变在增强MRI的T2W呈低信号、增强后T1W呈低强化。当急性肾盂肾炎患儿经抗菌药物治疗后发热持续时间≥48 h、白细胞尿持续时间超过4 d、血清白细胞介素6、干扰素γ显著增高时要疑诊AFBN;若发现AFBN影像学特征性改变,则可诊断为AFBN。AFBN的抗菌药物疗程至少为3周。.\n","PeriodicalId":23998,"journal":{"name":"Zhonghua er ke za zhi = Chinese journal of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua er ke za zhi = Chinese journal of pediatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112140-20231121-00384","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}