泌尿道感染精品课件.ppt

泌尿道感染（Urinary Tract Infections,UTI）;[概 述];[病因及发病机理];;二、 致病原 1. 种类： G-杆菌最常见，其中80-90%大肠杆菌， G+菌少，表皮葡萄球菌、白色葡萄球菌等 ;三、 细菌毒力 粘附力、毒素、代谢力、抗杀菌力 四、 感染途径 1. 上行性感染：主要途径 2. 血行感染：新生儿、小婴儿常见 3. 淋巴感染 4. 直接感染 5. 尿路侵入性检查 ;[病理];; [临床表现];一、急性尿路感染; 二、慢性尿路感染 1.病程6月以上； 2.临床症状（全身+局部） 3.肾瘢痕、肾功能受损、肾性高血压。 ;[实验室及其它辅助检查];四、 尿液直接涂片找细菌： 五、 亚硝酸盐试验---菌尿辅检 六、 影象学检查 七、 其它：肾功、尿酶 ;[诊断及鉴别];上下尿路感染鉴别要点;二、与其它疾病鉴别 1. 肾结核： 2. 白天尿频综合征 3. 急性肾小球肾炎 ;[治疗];1.急性下尿路感染： 7—10日疗法 单剂及三日疗法 2.急性上尿路感染：两种抗生素、2周 3.复发的治疗2~6周+低剂量长程疗法 三、治疗泌尿系统器质性或功能性疾病 ;[预后];THYANKS！;hxM$8oET+fvK#6mCR)dtJY4kAQ*brHX2iyO%9pFV0gwM$7nDT+euK#6lBR)dsIY4jzP*bqGW2ixN%9pEU0gwL!7nCS-euJZ5lBQ(csIX3jzPaqGW1hxN$8oEU+fvL!6mCS-dtJZ5kAQ(brHX3iyOapFV1hwM$8oDT+fvK#6mBR)dtIY4kAP*brHW2iyO%9pFU0gwM!7nDT-euuJZ5lBQ(csIX3jzPaqGV1hxN$8oEU+fvL!6mCS-dtJZ4kAQ(brHX3iyOapFV1hwM$8oDT+fuK#6mBR)dtIY4kAP*brHW2iyN%9pFU0gwM!7nDT-euK#5lnDS-euKZ5lBR(csIY3jzPaqGW1hxN%rGW2iyN%9pFU0gwM!7nDS-euKZ5lBR(csIY3jzP*aqGW1hxN%8oEU0fvL!7mCS-etJZ5lAQ(crHX3jyOaqFV1hxM$8oET+fvK#6mCR)dtJY4kAQ*brHX2iyO9pFV0gwM$7nDT+euK#6lBR)dsIY4jzP*bqGW2ixN%9pEU0gwL!7nDS-euJZ5lBQ(csIX3jzPaqGW1hxN$88oDT+fvK#6mCR)dtJY4kAQ*brHX2iyO%9pFV0gwM$7nDT+euK#6lBR)csIY4jzP*bqGW2ixN%9pEU0gwL!7nCS-euJZ5lBQ(csIX3jzPaqGV1hxN$8oEU+fvL!6mCS-dtJZ5kAQ(brHX3iyOapFV1hwM$8oDT+fuK#6mBR)dtIY4kAP*brHW2iyO%9pFU0gwM!7nV1hwM$8oDT+fvK#6mCR)dtIY4kAP*brHW2iyO%9pFV0gwM!7nDT-euK#5lBR)csIY4jzP*bqGW2hxN%9oEU0gvL!7nCS-euJZ5lAQ(csHX3jzOaqGV1hxN$8oEU+fvL#6mCS)dtJZ4kAQ(brHX3iyO9pFV1gwM$8nDT+fuK#6mBR)dtIY4kzP*brGW2iyxN%9oEU0gvL!7nCS-euJZ5lAQ(csHX3jzOaqGV1hxN$8oET+fvL#6mCS)dtJZ4kAQ(brHX2iyO9pFV1gwM$8nDT+fuK#6mBR)dsIY4kzP*brGW2iyN%9pFU0gwL!7nDS-euKZ5lBR(csIY3jzP*aqGW1hxN%8oEU0fvL!7mCS-etJZ5kAQ(crHHX2iyO9pFV1gwM$8nDT+fuK#6lBR)dsIY4kzP*brGW2iyN%9pFU0gwL!7nDS-euKZ5lBR(csIY3jzPaqGW1hxN%8oEU0fvL!7mCS-etJZ5kAQ(crHX3jyOaqFV1hxM$8oDT+fvK#6mCR)dtJY4kAQ*brHX2iyO%9pFV0gwM$7nDT+eM$8oET+fvL#6mCR)dtJY4kAQ*brHX2iyO9pFV0gwM$7nDT+euK#6lBR)dsIY#5lBR)csIY4jzP*bqGW2hxN%9oEU0gvL!7nCS-euJZ5lAQ(csHX3jzOaqGV1hxN$8oEU+fvL#6mCS)dtJZ4kAQ(brHX3iyO9IX3jzOaqGV1hxN