Oei J, Garvey P A, Rosenberg A R
Department of Newborn Care, Royal Hospital for Women, Randwick, NSW, Australia.
J Paediatr Child Health. 2001 Oct;37(5):513-5. doi: 10.1046/j.1440-1754.2001.00656.x.
Urinary ascites in a newborn infant is unusual and most commonly indicates a disruption to the integrity of the urinary tract. The following report describes a case of urinary ascites, probably due to bladder rupture caused by umbilical artery catheterization, associated with hyponatremia, hyperkalemia and elevated serum creatinine. This unusual biochemical profile is characteristic of urinary 'autodialysis' and was corrected by bladder drainage.
新生儿尿腹水并不常见,最常见的原因是尿路完整性受到破坏。以下报告描述了一例尿腹水病例,可能是由脐动脉插管导致膀胱破裂引起的,伴有低钠血症、高钾血症和血清肌酐升高。这种不寻常的生化特征是尿“自身透析”的特点,并通过膀胱引流得到纠正。