本文報告一懷孕第34 週外籍孕婦因腹痛、寡尿、嘔吐及腰痛就醫。病患有反覆性腎盂腎炎病史，診斷為早產收縮併發腎盂腎炎，除安胎外並投予抗生素。然住院後高燒不退，血壓下降發生敗血性休克，置放尿管亦僅少量尿液流出，超音波發現雙側均有明顯腎及輸尿管水腫，研判為懷孕子宮壓迫造成。放置Double J 導管後尿液順利流出，發燒改善，子宮收縮亦逐漸消失。狀況穩定後出院並持續使用預防抗生素，其後未再發生相同疾症。本案例顯示：組成跨科團隊、及早施行超音波診斷、選用適合抗生素、出院後繼續預防，應對有效治療並防止腎炎反覆發作有較大助益。再者，若加上本案例，我們已發現共五位有類似症狀及診斷病患，全部發生於外籍孕婦，顯示對外籍孕婦衛教及產中追蹤實有再加強必要。

We report on a foreign pregnant woman who at 34 weeks' gestation visited our hospitalbecause of low abdominal pain, oliguria, vomiting, and flank pain with previous episodes ofrecurrent pyelonephritis. Preterm contractions complicated with pyelonephritis was ourimpression, which was treated by tocolytic agents and antibiotics. She suffered from a high fever,however, after admission, whichwas associated with hypotension, so septic shockwas noted. Theurine amount was scanty despite an indwelling Foley catheter. Ultrasound revealed remarkablebilateral hydronephrosis and hydroureters which might have resulted from compression by thegravid uterus. Urine passed smoothly after inserting bilateral double-J catheters. In addition, boththe fever and uterine contractions subsided. She was discharged after her condition had stabilized.Treatment with prophylactic antibiotics was continued, and she was free of disease afterwards.Our experience shows that multidisciplinary teamwork, early arrangement of diagnosticultrasound, the proper selection of antibiotics, and prophylactic antibiotics after discharge mayhave benefits for the effective treatment and prevention of recurrent pyelonephritis. We found atotal of 5 cases with similar symptoms and diagnoses in our hospital (including this patient) overthe past years. All of them were foreign pregnant women. This reveals that more can be done toempower foreign pregnant women in terms of health education and antepartum follow-up.