Roger等从明确诊断的12例肾脓肿分析的结果,指出:以往认为多是由金黄色葡萄球菌引起的概念应改变,现在却以革兰氏阴性杆菌多见,尤其是以大肠杆菌最常见(7例)。大部份病例有易感因素,其中以尿路结石最常见。病者常高热(39℃以上)、胁腹痛、局部触痛和血白细胞增多。但局部常不能触及肿块,血尿素氮不高。静脉肾盂造影对早期诊断有很大的价值,逆行造影价值不大,同位素镓扫描是一种有价值的诊断方法,观察抗菌药的疗效也有助于诊 Roger and other clear from the diagnosis of 12 cases of renal abscess analysis of the results, pointed out: In the past that the concept of Staphylococcus aureus should be changed, but now more common with gram-negative bacilli, especially E. coli most common 7 cases). Most cases have predisposing factors, of which the most common urinary tract stones. Patients often high fever (39 ℃ above), the threat of abdominal pain, local tenderness and leukocytosis. But often can not touch the local mass, blood urea nitrogen is not high. Intravenous pyelography has great value in the early diagnosis, retrograde angiography is not valuable, isotope gallium scan is a valuable diagnostic method to observe the efficacy of antimicrobial agents can also help the diagnosis