Pyelonephritis of the clinical classification and clinical performance

Clinical acute pyelonephritis and chronic divided into two categories
General performance: First, the majority of systemic performance onset of intense, often shiver or chills, high fever, body temperature can reach more than 39 degrees Celsius, general malaise, headache, malaise, anorexia, and sometimes nausea or vomiting. Second, urinary tract symptoms is the most prominent symptoms of bladder stimulation frequency, urgency, Niaotong, each Bainiaoliang less, and even urine hill, most of the patients have low back pain or abdominal pain-perineal subordinates. A medical examination on the ureter (the outer edge of the rectus abdominis-umbilical) or rib lumbar point (the outer edge of the psoas muscle and rib-12) tenderness, kidney area Kouji pain. Patients with mild systemic performance can only frequency, urgency, Niaotong symptoms such as bladder stimulation.
1) acute pyelonephritis clinical manifestations: (1) infection poisoning symptoms: chills or chills, high fever, with headache, fatigue, loss of appetite, nausea and vomiting; (2) low back pain: Kidney District tenderness, Kouji pain, frequency, urgency, and bladder area Niaotong tenderness.
2) chronic pyelonephritis clinical manifestations: generally refers to more than one year history of urinary tract infection and renal pelvis, renal calyceal submucous fibrosis and scar deformation, or after treatment, there are still tubular dysfunction. (1) occult: no obvious signs and symptoms. Some patients with chronic pyelonephritis (such situation was particularly prevalent in women will), its clinical manifestations were occult, only fever, dizziness, fatigue weakness systemic symptoms, and low back pain, urinary often do not change significantly, only urine and bacteria pyuria; and urine culture bacteria sometimes be repeated 2-3 times to obtain positive results. (2) of urinary tract infection: less acute pyelonephritis performance and the performance of serious acute exacerbation (acute pyelonephritis with the same performance) alternately, renal damage lighter when extensive damage renal parenchymal inflammation, may The result of renal ischemia in hypertension, can also be due to severe renal parenchymal damage to the development of uremia. (3) kidney infection type: bladder irritation sign not obvious, and a common type of chronic nephritis similar clinical manifestations, but inspection of the positive urine, urine in Nongxibao, X-ray urography found urinary tract deformation, reduction Narrow, kidney shape different from the ordinary punch grievances of chronic nephritis.