CAJ | 학술논문

目的探讨近期小儿急性上尿路结石梗阻致肾衰发病率升高的病因、临床特点、诊断及治疗.方法我院近期收治40例急性上尿路梗阻致肾衰的病例,膀胱镜下行输尿管插管引流25例,腹膜透析8例,自行解除梗阻6例,肾盂造瘘1例.结果所有40例急性肾功能衰竭患儿大部分有三鹿奶粉喂养史,主要表现为无尿,首选腹部B超检查;急性肾功能衰竭时及时解除结石梗阻,纠正酸碱失衡、水电解质紊乱.40例患儿上尿路梗阻完全解除,肾功能均恢复正常;结石成分主要为尿酸盐结石,结石多能自行排出.结论三聚氰胺诱发尿酸盐结石可能是近期小儿梗阻性肾衰的主要原因.治疗手段包括膀胱镜输尿管插管、腹膜透析等.
목적 탐토근기소인급성상뇨로결석경조치신쇠발병솔승고적병인、림상특점、진단급치료.방법 아원근기수치40례급성상뇨로경조치신쇠적병례,방광경하행수뇨관삽관인류25례,복막투석8례,자행해제경조6례,신우조루1례.결과 소유40례급성신공능쇠갈환인대부분유삼록내분위양사,주요표현위무뇨,수선복부B초검사;급성신공능쇠갈시급시해제결석경조,규정산감실형、수전해질문란.40례환인상뇨로경조완전해제,신공능균회복정상;결석성분주요위뇨산염결석,결석다능자행배출.결론 삼취청알유발뇨산염결석가능시근기소인경조성신쇠적주요원인.치료수단포괄방광경수뇨관삽관、복막투석등.
Objective To investigate the high risk factors of elevated incidence of acute renal failure(ARF) due to acute upper urinary tract obstruction in children, and analyze its clinical manifes- tations, diagnosis and treatment. Methods Forty cases with ARF were treated in this hospital from Jan of 2008. Among these cases, 25 cases were treated with catheterization of ureters under uretero- scope, 8 cases with peritoneal dialysis, 6 cases with conservative treatment and the other 1 with ne- phrostomy. Results Most of the 40 cases with acute renal failure had the history of consumption of San Lu powdered milk. The main clinical manifestation was anuria. Urinary obstruction of all cases was relieved and the renal function recovered. Uratoma was the main component in these stones which could he discharged spontaneously. Conclusions Melamine-contaminated San Lu powdered milk in- duced uratoma could be the high risk factor of upper urinary acute obstructive renal failure in children. The main treatments include catheterization of ureters under ureteroscope and peritoneal dialysis.