我们治疗尿路感染的原则:(1)在抗菌治疗开始前必须首先作出尿路感染的诊断,尽可能等待尿液培养后应用抗菌药物。(2)必须考虑各种尿路梗阻的可能性,特别对有严重全身感染表现,肾功能不全或肾绞痛症状或尿路感染反复发作的病人,应仔细进行检查。(3)有全身性感染体征或肾区痛及压痛者,应用的抗菌药物必须在肾脏组织中达到足够的抗菌涉度,才能有效控制感染。一、尿路感染的一般治疗凡有发热及泌尿系症状明显时,应卧床休息,鼓励多饮水以增加尿量。尿路刺激症状显著者可用(艹颠)茄合剂或阿托品以缓解症状。二、有症状尿略感染的治疗1.首次疗程的任务是彻底消灭致病菌,故确定致病菌及对药物敏感度是重要关键。故治疗应在留尿作常规和细菌检查后开始用药,一般首先选用对革兰氏阴性杆菌有效的药物,常用的药物为磺胺甲基异恶唑SMZ)1克,一日二次,磺胺异恶唑(SIZ)1克,一 We treat the principle of urinary tract infection: (1) Before the start of antimicrobial therapy must first make a diagnosis of urinary tract infection, as far as possible waiting for the urine culture after the application of antimicrobial drugs. (2) The possibility of various types of urinary tract obstruction must be considered, and in particular, patients with severe systemic infection manifestations, renal insufficiency, or symptoms of renal colic or recurrent urinary tract infections should be carefully examined. (3) signs of systemic infection or kidney pain and tenderness, the application of antimicrobial drugs must be in the kidney tissue to achieve sufficient antimicrobial activity, in order to effectively control the infection. First, the general treatment of urinary tract infection where there is obvious symptoms of fever and urinary tract, bed rest should be encouraged to increase the amount of urine to drink more water. Symptoms of urinary tract irritation can be used (艹 Britain) aromatherapy agent or atropine to relieve symptoms. Second, the treatment of symptomatic urinary tract infection 1. The first course of treatment is the task of eliminating pathogens, it is important to determine pathogens and drug sensitivity. Therefore, treatment should be routine for urinary and bacterial examination began after medication, generally the first choice of gram-negative bacilli effective drugs, commonly used drugs for sulfamethoxazole SMZ) 1 g, twice a day, sulfa vary Azole (SIZ) 1 g, one