Balzar E, Steger H, Frenzl K, Ponhold W
Universitäts-Kinderklinik Wien.
Wien Med Wochenschr. 1991;141(23-24):541-3.
Urinary tract infections (UTI) in children are common. In the case of high grade vesico-ureteric-renal reflux (VUR) or urinary tract obstruction the abnormality may lead to end-stage renal failure. An early evaluation and adequate therapy after UTI are mandatory. Between 1980 and 1987 we evaluated 63 children with VUR. The symptoms of UTI are variable and age-dependent. Only in 13% of the children the urinary tract was evaluated after their first UTI. In 70% of the cases there were more than 1, mostly multiple UTI. The remaining 17% were admitted for other reasons. The relation boys to girls was 1:2. In boys the diagnosis of VUR was made earlier than in girls: 57% of boys and 17% of girls in their first year of life. In 24% of the boys and in 36% of the girls VUR was found between the 5th and 15th year of life. In the case of high grade reflux (IV-V) the kidneys showed heavy damage, loss of function and hypertension at the time of diagnosis. The aim must be early diagnosis and adequate therapy to prevent avoidable damages.
儿童尿路感染（UTI）很常见。在重度膀胱输尿管反流（VUR）或尿路梗阻的情况下，这种异常可能会导致终末期肾衰竭。尿路感染后进行早期评估和适当治疗是必不可少的。1980年至1987年间，我们评估了63例VUR患儿。尿路感染的症状因人而异且与年龄有关。只有13%的儿童在首次尿路感染后接受了尿路评估。70%的病例有不止一次，大多是多次尿路感染。其余17%因其他原因入院。男孩与女孩的比例为1:2。男孩比女孩更早诊断出VUR：57%的男孩在出生后第一年被诊断出，而女孩为17%。24%的男孩和36%的女孩在5至15岁之间被发现有VUR。在重度反流（IV - V级）的情况下，诊断时肾脏显示出严重损害、功能丧失和高血压。目标必须是早期诊断和适当治疗，以防止可避免的损害。
