gas cystitis
Introduction
Introduction to gas cystitis Aeroprinitis is a type of bladder inflammation in the bladder wall or in the cavity, also known as primary gasuria. Some scholars believe that gas cystitis and primary gasuria are two stages of a disease. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: sepsis
Cause
Cause of gas cystitis
(1) Causes of the disease
The pathogens are mainly Escherichia coli, aerogens, Proteus, Staphylococcus aureus, etc., enter the urinary system through the blood or urinary tract injury pathway, and ferment urinary glucose or urine abnormal protein or Escherichia coli Decomposes normal protein to produce gas. This gas is confirmed to be carbon dioxide gas by analysis. The cause of this disease is more common in diabetes or long-term infusion of glucose solution. Diabetes itself is very likely to cause bacterial infection, followed by urinary tract obstruction and long-term catheterization. Infection caused by urinary tract injury.
(two) pathogenesis
Gastric cystitis is characterized by the appearance of air bubbles in the bladder wall tissue. It is a special type of bladder acute and chronic inflammation. The gas accumulates under the mucosa. When the amount is large, it can overflow into the bladder and/or the serosal membrane outside the bladder. If there is free gas in the bladder cavity, some patients can be discharged with urine.
The edema of the bladder wall is thickened, and there are many circular or elliptical cavities in the intrinsic membrane. The mucosal epithelium covering the surface of the bubble can completely fall off to form superficial ulcer. The tissue near the vesicle has different degrees of congestion, edema, and neutrophils. Infiltration of lymphocytes, plasma cells, etc., and sometimes bubbles are also visible in the muscle layer.
Prevention
Gas cystitis prevention
The pathogens of this disease are mainly Escherichia coli, aerobacteria, Proteus, Staphylococcus aureus and the like. Through the blood or urinary tract injury pathway into the urinary system, glycoly or urinary abnormal protein in the urine or Escherichia coli decomposes normal protein to produce gas, so clinical prevention should be based on etiology, when urinary tract infection occurs And when the blood is infected, active treatment should be carried out to prevent the infection from prolonging to the bladder tissue and induce the disease.
Complication
Complications of gas cystitis Complications sepsis
This disease can spread to cause renal emphysema, showing acute diffuse suppurative inflammation. When the formation of bubbles is serious, it can cause necrosis of kidney tissue and death due to sepsis. The mortality rate is over 43%. Secondly, the muscle hypertrophy caused by concurrent obstruction, the increase of bladder capacity and even the change of diverticulum, etc., should be actively treated once the diagnosis is confirmed, and the serious infection will cause serious complications.
Symptom
Gastric bladder inflammation symptoms Common symptoms Urinary frequency chills Urinary pain High fever Urgency
1. Bubble-like urine is the most characteristic when urinating or catheterizing.
2. Many have long-term diabetes, urinary tract infection or catheterization history, older women are more common.
3. Frequent urination, urgency, urinary pain, severe chills, high fever and other body manifestations.
Examine
Examination of gas cystitis
Laboratory tests to see a large number of pus cells in the urine, red blood cells, medium-stage urine culture can identify pathogenic bacteria, more common with gas-producing bacteria.
X-ray examination is of great significance for diagnosis. X-ray findings are divided into three phases: stage I: cystography can be seen around the bladder cavity with a clear translucent band about 1mm wide; phase II: increased gas, irregular bladder wall edge, wall enlargement Thick, in addition to the translucent band there is a bubble; stage III: the bladder wall bubble burst into the bladder cavity, the gas in the cavity increases, at this time can ventilate the urine.
Diagnosis
Diagnosis and differentiation of gas cystitis
diagnosis
According to the history and clinical manifestations, this disease should be thought of, and X-ray examination is of great significance for the definite diagnosis.
Differential diagnosis
The disease should be differentiated from radiation cystitis, follicular cystitis, cystitis glandularis, and chemical cystitis.
