Cachat François, Barbey Frédéric, Daudon Michel
Département de pédiatrie, Unité de néphrologie pédiatrique, CHUV, Lausanne.
Rev Med Suisse Romande. 2004 Aug;124(8):491-6.
Clinical investigations of a patient with urolithiasis include a careful history and radiological and biochemical evaluation. Stone analysis by infrared spectrophotometry remains the most important step. These investigations are essential in order to understand why a patient developed urolithiasis and, most importantly, how to avoid its recurrence in the future. Simple exams are often enough in a patient with a single urolithiasis episode. But biochemical evaluation should be extensive in a child, or an adult with several urolithiasis episodes or with renal insufficiency.
对尿路结石患者的临床检查包括详细的病史询问以及影像学和生化评估。通过红外分光光度法进行结石分析仍然是最重要的步骤。这些检查对于理解患者为何会患上尿路结石至关重要，而最重要的是，如何避免其在未来复发。对于仅有单次尿路结石发作的患者，简单的检查通常就足够了。但对于儿童，或有多次尿路结石发作或肾功能不全的成年人，生化评估应该全面。
