CAJ | 학술논문

目的总结婴幼儿尿路感染的的临床资料,探讨和分析婴幼儿尿路感染的起病方式、临床特点.方法对2004年9月至2008年5月确诊的104例婴幼儿尿路感染的临床资料作回顾性分析.结果在所有确诊的尿路感染婴幼儿中,以<1岁的小婴儿为主,占61%;发热是最突出的起病方式,占75%;在选择性所做的86例肾静态显像(DMSA)检查中确诊急性肾盂肾炎(APN)42例(49%),其中3例已出现肾疤痕,进一步做排泄性膀胱造影(MCU)证实存在不同程度的膀胱输尿管返流(VUR)3例;在APN组,无论是<1岁小婴儿所占的比例,还是高热的发病数以及外周血白细胞计数和C反应蛋白(CRP)水平增高的比例都明显高于非APN组.结论发热是婴幼儿尿感最重要的临床特点;婴幼儿尿感中APN的发病率不容忽视;小婴儿、高热和外周血白细胞计数和CRP水平的增高可能是APN发生的高危因素.
목적 총결영유인뇨로감염적적림상자료,탐토화분석영유인뇨로감염적기병방식、림상특점.방법 대2004년9월지2008년5월학진적104례영유인뇨로감염적림상자료작회고성분석.결과 재소유학진적뇨로감염영유인중,이<1세적소영인위주,점61%;발열시최돌출적기병방식,점75%;재선택성소주적86례신정태현상(DMSA)검사중학진급성신우신염(APN)42례(49%),기중3례이출현신파흔,진일보주배설성방광조영(MCU)증실존재불동정도적방광수뇨관반류(VUR)3례;재APN조,무론시<1세소영인소점적비례,환시고열적발병수이급외주혈백세포계수화C반응단백(CRP)수평증고적비례도명현고우비APN조.결론 발열시영유인뇨감최중요적림상특점;영유인뇨감중APN적발병솔불용홀시;소영인、고열화외주혈백세포계수화CRP수평적증고가능시APN발생적고위인소.
Objective To investigate the onset,clinical features of urinary tract infection in infants.Methods Retrospective analysis was performed on clinical data of 104 cases of urinary tract infection in infants from September 2004 to May 2008.Results Among those with confirmed urinary tract infection,61% were found with age less than one year old.Fever was the most common form of onset.accounting for 75%.42 cases (49%)of the 86 cases of selectively performed DMSA imaging were diagnosed as acute pyelonephritis(APN),3cases had scars formation.The proportion of young infants under one year of age,the number of high fever,and the proportion of increased peripheral white blood cells count and C-reactive protein(CRP)level were significantly higher than those without APN.Conclusion Fever is the most prominent clinical feature of urinary tract infection in infants and young children;the incidence of APN in urinary tract infection in infants and young children cannot be neglected;young infants,high fever,increased peripheral white blood cells count and level of CRP may be the risk factors of APN.