CAJ | 학술논문

目的探讨婴幼儿食用受三聚氰胺污染奶粉致急性肾后性尿闭的治疗.方法对2008年1月1日至2008年9月30日诊治的17例存在上尿路结石梗阻婴幼儿病例进行回顾性分析.结果 13例保守治疗,4例行开放手术取石、解除梗阻.所有病例解除梗阻后肾功能明显改善,血钾恢复正常;随访1～9个月,尿流及肾功能均恢复正常.结论婴幼儿食用含三聚氰胺奶粉所致结石,部分可通过水化、碱化等保守治疗,部分需急诊手术取石解除梗阻、挽救肾功能,且术中可观察是否合并上尿路畸形并予对症处理,预后良好.
목적 탐토영유인식용수삼취청알오염내분치급성신후성뇨폐적치료.방법 대2008년1월1일지2008년9월30일진치적17례존재상뇨로결석경조영유인병례진행회고성분석.결과 13례보수치료,4례행개방수술취석、해제경조.소유병예해제경조후신공능명현개선,혈갑회복정상;수방1～9개월,뇨류급신공능균회복정상.결론 영유인식용함삼취청알내분소치결석,부분가통과수화、감화등보수치료,부분수급진수술취석해제경조、만구신공능,차술중가관찰시부합병상뇨로기형병여대증처리,예후량호.
Objective To explore a reasonable treatment for children with acute renal failure due to formula powdered milk contaminated by melamine. Methods From May 1st to September 30th of 2008,17 infants with acute anuria or renal failure who were fed with powdered milk contaminated by melamine were admitted to this hospital. The clinical manifestations, imageologic findings and emergent management of these cases were retrospectively analyzed. Results Obstruction of upper urinary tract was found in all patients. All patients suffered impairment of renal function and blood kalium abnor- mality. Of the seventeen cases, 13 were treated with conservative methods, the other 4 cases were trea- ted with operations. The renal function and blood kalium level of all patients recovered back to normal at 24 hours after treatment. All patients were followed up for 1 to 9 months, and were found to gain normal urinary flow and renal function. Conclusions Of the infants who suffered acute post renal fail- ure due to formula milk contaminated by melamine, some can get recovery by conservative treatments such as hydration and urine kaline, while others need emergent operations to relieve obstruction.