Stapleton F Bruder
Children's Hospital and Regional Medical Center, University of Washington Seattle, 4800 Sand Point Way North East, CH-65, Seattle, WA 98105, USA.
Endocrinol Metab Clin North Am. 2002 Dec;31(4):1001-15, ix. doi: 10.1016/s0889-8529(02)00036-1.
Urinary stones in children are usually genetic and most commonly due to hypercalciuria. Symptoms of urolithiasis in children differ among age groups. Isolated hematuria in children may be caused by hypercalciuria and precede calculus formation. Careful evaluation successfully identifies the cause of urinary stones in most children, although diagnostic criteria may vary in different age groups. Therapies should be targeted to the underlying diagnosis.
儿童尿路结石通常具有遗传性,最常见的原因是高钙尿症。儿童尿石症的症状在不同年龄组有所不同。儿童单纯性血尿可能由高钙尿症引起,并先于结石形成。尽管不同年龄组的诊断标准可能有所不同,但仔细评估大多能成功找出儿童尿路结石的病因。治疗应针对潜在诊断。