中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
6期
655-657
,共3页
王笑晴%李虹%朱庆华%申鲁生
王笑晴%李虹%硃慶華%申魯生
왕소청%리홍%주경화%신로생
三聚氰胺%小儿%泌尿系结石%预后
三聚氰胺%小兒%泌尿繫結石%預後
삼취청알%소인%비뇨계결석%예후
Melamine%Infant and child%Urinary stones%Prognosis
目的 分析三聚氰胺污染奶粉喂养小儿泌尿系结石的临床特征及预后.方法 回顾分析2008年8-11月我院住院的三聚氰胺污染奶粉致小儿泌尿系结石53例的临床表现、实验室化验、影像学检查、治疗效果、1年随访结果及预后.结果 53例患儿中男39例,女14例,男比女2.79:1:入院时主要临床表现排尿时哭闹、腹痛、血尿、少尿、无尿;实验室检查尿常规pH值均<6(5.32±0.25),血尿酸[(638.69 ±36.25)μmo/L]、尿素氮[(8.35±1.97)mmol/L]明显增高;彩色多普勒超声仪及CT显示双肾结石、单侧肾结石、双肾及单肾伴单侧输尿管结石、单侧输尿管结石、膀胱结石.内科治疗后,37例结石全部排出.pH值明显升高(6.52±0.47),血尿酸[(382.31±29.57)μmo/L]、尿素氮[(5.15 ±1.92)mmol/L]明显下降.发病1年随诊结石排出者无复发.结论 三聚氰胺污染奶粉致小儿泌尿系结石内科治疗效果好:结石排出后复发少.
目的 分析三聚氰胺汙染奶粉餵養小兒泌尿繫結石的臨床特徵及預後.方法 迴顧分析2008年8-11月我院住院的三聚氰胺汙染奶粉緻小兒泌尿繫結石53例的臨床錶現、實驗室化驗、影像學檢查、治療效果、1年隨訪結果及預後.結果 53例患兒中男39例,女14例,男比女2.79:1:入院時主要臨床錶現排尿時哭鬧、腹痛、血尿、少尿、無尿;實驗室檢查尿常規pH值均<6(5.32±0.25),血尿痠[(638.69 ±36.25)μmo/L]、尿素氮[(8.35±1.97)mmol/L]明顯增高;綵色多普勒超聲儀及CT顯示雙腎結石、單側腎結石、雙腎及單腎伴單側輸尿管結石、單側輸尿管結石、膀胱結石.內科治療後,37例結石全部排齣.pH值明顯升高(6.52±0.47),血尿痠[(382.31±29.57)μmo/L]、尿素氮[(5.15 ±1.92)mmol/L]明顯下降.髮病1年隨診結石排齣者無複髮.結論 三聚氰胺汙染奶粉緻小兒泌尿繫結石內科治療效果好:結石排齣後複髮少.
목적 분석삼취청알오염내분위양소인비뇨계결석적림상특정급예후.방법 회고분석2008년8-11월아원주원적삼취청알오염내분치소인비뇨계결석53례적림상표현、실험실화험、영상학검사、치료효과、1년수방결과급예후.결과 53례환인중남39례,녀14례,남비녀2.79:1:입원시주요림상표현배뇨시곡료、복통、혈뇨、소뇨、무뇨;실험실검사뇨상규pH치균<6(5.32±0.25),혈뇨산[(638.69 ±36.25)μmo/L]、뇨소담[(8.35±1.97)mmol/L]명현증고;채색다보륵초성의급CT현시쌍신결석、단측신결석、쌍신급단신반단측수뇨관결석、단측수뇨관결석、방광결석.내과치료후,37례결석전부배출.pH치명현승고(6.52±0.47),혈뇨산[(382.31±29.57)μmo/L]、뇨소담[(5.15 ±1.92)mmol/L]명현하강.발병1년수진결석배출자무복발.결론 삼취청알오염내분치소인비뇨계결석내과치료효과호:결석배출후복발소.
Objective To analyze the clinical features and prognosis of urinary calculi in children caused by melamine-contaminated milk. Methods Retrospective analysis of 53 cases of urinary calculi caused by melamine contaminated infant milk powder were performed. Clinical characteristics, lab measurements, colour Doppler ultrasound and CT examination results were collected, and the outcome of treatment and prognosis were followed up. Results In the 53 cases, there were 39 males and 14 females. The main clinical manifestations at admission included crying during urination, abdominal pain, hematuria, oliguria and anuria. Urine pH value was low with average of 5. 32 ±0. 25,blood uric acid was high with average of (638. 69 ±36. 25) μmol/L,blood urea nitrogen was high with average of (8. 35 ± 1. 97) mmol/L The colour Doppler ultrasound and CT examination showed calculi in both or one side kidney,or combined with calculi in both or one side ureter,calculi in one side ureter,or bladder calculi. After medical treatment,all calculi were exported,urine pH values increased to 6. 52 ±0. 47,blood uric acid blood and urea nitrogen decreased to (382. 31 ±29. 57) μmo/L and (5. 15 ±1.92) mmol/L No calculi reoccurred within one year of follow up. Conclusions Medical treatment of urinary calculi in children caused by melamine-contaminated milk powder was effective,and there were less stone recurrence after discharge.
