泌尿道感染(gǎnrǎn)第一页，共五十三页。泌尿道感染(gǎnrǎn)第二页，共五十三页。泌尿道感染(gǎnrǎn)概述第三页，共五十三页。泌尿道感染(gǎnrǎn)概述第四页，共五十三页。普通普通(pǔtōng)(pǔtōng)人群人群0.91%0.91%女性人群女性人群2.05%*2.05%*育龄妇女育龄妇女5.0%*5.0%*妊娠妇女妊娠妇女7%7%婴幼儿细菌尿婴幼儿细菌尿1.0%1.0%女学生细菌尿女学生细菌尿1-2%1-2%男学生细菌尿男学生细菌尿0.03%0.03%老年男性细菌尿老年男性细菌尿7.0%7.0%老年细菌尿老年细菌尿10%10%*中山一院30196普查(pǔchá)结果第五页，共五十三页。泌尿道感染(gǎnrǎn)概述•发病情况：因性别年龄不同而异。第六页，共五十三页。西医(xīyī)病因及病理第七页，共五十三页。第八页，共五十三页。西医病因(bìngyīn)及病理第九页，共五十三页。宿主(sùzhǔ)因素第十页，共五十三页。感染(gǎnrǎn)途经血源性感染：主要是金黄色葡萄球菌第十一页，共五十三页。第十二页，共五十三页。Doubleuretersareseenexitingfromeachkidneyandextendingtothebladderthathasbeenopened.Asmallsegmentofaortaisseenbetweenthenormal,smooth-surfacedkidneys.第十三页，共五十三页。细菌(xìjūn)毒力第十四页，共五十三页。西医(xīyī)病理急性病例尿路粘膜及肾间质受损，肾小球一般不受累。较重者可见散在的溃疡及小脓肿.第十五页，共五十三页。Therewasalargerenalcalculus(stone)thatobstructedthecalycesofthelowerpoleofthiskidney,leadingtoafocalhydronephrosis(dilationofthecollectingsystem).Thestasisfromtheobstructionanddilationledtoinfection.Theinfectionwithinflammationischaracterizedbythepaleyellowish-tanareasnexttothedilatedcalyceswithhyperemicmucosalsurfaces.Theupperpoleisnormalandshowsgoodcorticomedullarydemarcations.第十六页，共五十三页。西医(xīyī)病理慢性病例可见不规则的疤痕和萎缩，肾实质广泛破坏者，肾功能严重受损。第十七页，共五十三页。第十八页，共五十三页。Chronicpyenephritis.Notetheirregularlyscaredkidney,dilatedandbluntedcalices.第十九页，共五十三页。ChronicpyenephritisbroadscarsinapatientwithchronicVUR.第二十页，共五十三页。Thelargecollectionofchronicinflammatorycellshereisinapatientwithahistoryofmultiplerecurrenturinarytractinfections.Thisischronicpyelonephritis.第二十一页，...
