2012 年 03 月 08 日 泌尿科主任醫師洪峻澤 書田
2.複雜性尿路感染
複雜性尿路感染表示有潛在的泌尿系統疾病;常見如先天性的輸尿管分叉、膀胱輸尿管尿液逆流、尿道狹窄,後天性的疾病如尿路結石、神經性膀胱。所謂的「複雜性」,意味著這些潛在疾病造成的尿路感染不易治療,必須先治療潛在病因,才有可能治癒尿路感染。
臨床上,對首次的尿路感染病患,除了「尿液常規檢查」外,一般多不做進一步檢查(但新生兒除外,因為先天性疾病較多;幼兒即使第一次尿路感染,也要積極檢查其潛在病因),除非久治不癒或一再復發,才需安排進一步的檢查。
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