METHOD OF ESTIMATING INDICATIONS FOR OPERATIVE INTERVENTION IN CASE OF ACUTE PIELONEPHRITIS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely, to urology and can be used for operative tactics in treatment of acute pyelonephritises. In order to estimate indications for operative intervention in case of acute pyelonephritis, by means of ultrasound examination, rate of blood flow in cortical layer of kidney is evaluated. Thickness of kidney parenchyma and its homogeneity are determined, then catheterisation of inflamed kidney is performed and anti-bacterial therapy is prescribed. In one day, repeated ultrasound examination is carried out, and if blood flow in cortical layer deteriorates, thickness of parenchyma either does not reduce or grows, parenchyma heterogeneity enhances, fever persists operative intervention is performed. Method increases accuracy of estimation of patient's state, allows to carry out operative intervention in due time, avoid complications and preserve vitally important organ.;EFFECT: increasing accuracy of estimation of patient's state, ensuring possibility to carry out operative intervention in due time, avoid complications and preserve vitally important organ.;2 ex