中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
11期
29-30
,共2页
宋善路%谈钧佩%杨膺%倪馨莉%黄赟%王静
宋善路%談鈞珮%楊膺%倪馨莉%黃赟%王靜
송선로%담균패%양응%예형리%황빈%왕정
婴幼儿%肾静态显像%急性肾盂肾炎
嬰幼兒%腎靜態顯像%急性腎盂腎炎
영유인%신정태현상%급성신우신염
Infants and young children%Static kidney imaging%Acute pyelonephritis
目的 探讨婴幼儿急性肾盂肾炎(APN)的临床特点.方法 对2004年9月至2008年5月徐汇区中心医院住院确诊的42例婴幼儿APN的临床资料作回顾性分析.结果 婴幼儿APN以＜1岁的小婴儿为主;不明原因的发热是最突出的起病方式;高热、外周血白细胞计数和C反应蛋白(CRP)水平增高是婴幼儿APN的高危因素;大肠埃希菌仍然是最常见的致病菌.结论 婴幼儿APN的发病现状令人担忧;对婴幼儿不明原因的发热有必要常规开展影像学方面的检查;DMSA是诊断APN的金指标.
目的 探討嬰幼兒急性腎盂腎炎(APN)的臨床特點.方法 對2004年9月至2008年5月徐彙區中心醫院住院確診的42例嬰幼兒APN的臨床資料作迴顧性分析.結果 嬰幼兒APN以＜1歲的小嬰兒為主;不明原因的髮熱是最突齣的起病方式;高熱、外週血白細胞計數和C反應蛋白(CRP)水平增高是嬰幼兒APN的高危因素;大腸埃希菌仍然是最常見的緻病菌.結論 嬰幼兒APN的髮病現狀令人擔憂;對嬰幼兒不明原因的髮熱有必要常規開展影像學方麵的檢查;DMSA是診斷APN的金指標.
목적 탐토영유인급성신우신염(APN)적림상특점.방법 대2004년9월지2008년5월서회구중심의원주원학진적42례영유인APN적림상자료작회고성분석.결과 영유인APN이＜1세적소영인위주;불명원인적발열시최돌출적기병방식;고열、외주혈백세포계수화C반응단백(CRP)수평증고시영유인APN적고위인소;대장애희균잉연시최상견적치병균.결론 영유인APN적발병현상령인담우;대영유인불명원인적발열유필요상규개전영상학방면적검사;DMSA시진단APN적금지표.
Objective Investigate clinical characteristics of acute pyelonephritis(APN)in infants and young children.MethodsRetrospective analysis on 42 cases of confirmed APN in infants and young children hospitalized in Xuhui District Central Hospital during September 2004 through May 2008 wore performed.Results APN of infants and young children are most often seen in those of less than one year of age.Fever of unknown origin is the most prominent pattern of onset,high fever,increased peripheral white blood cells and elevated level of C-reactive protein are risk factors for APN:E.Coil is still the most commonly seen pathogen.Conclusion The current prevalence of APN caused concern:routine imaging examiination should be performed for fever of unknown origin in infants and young children;DMSA is:gold criterion"for the diagnosis of APN.
