Cochat P, Mourani C, Exantus J, Bourquia A, Martinez-Pico M, Adonis-Koffy L, Bacchetta J
Service de pédiatrie et centre de référence des maladies rénales rares, Hôpitalfemme mère enfant et Université Lyon 1, Lyon, France.
Med Trop (Mars). 2009 Dec;69(6):543-7.
Pediatric nephrology is not a priority medicine in developing countries, but it should improve along with the development of both preventive and curative simple measures since the mortality rate is still important. This can be applied to the management of urinary tract infection, acute nephritis and some other cases of acute renal failure. The identification and management of chronic kidney diseases is mainly based on blood pressure measurement, proteinuria screening and plasma creatinine assessment. However renal replacement therapy (i.e., dialysis and transplantation) is highly expensive and its access is therefore limited to selected growing countries. The improvement in the care of renal children therefore requires better medical knowledge, nurse training and population information.
在发展中国家,儿科肾脏病并非重点医学领域,但鉴于死亡率仍然很高,随着预防和治疗简单措施的发展,该领域应有所改善。这可应用于尿路感染、急性肾炎及其他一些急性肾衰竭病例的管理。慢性肾脏病的识别与管理主要基于血压测量、蛋白尿筛查及血肌酐评估。然而,肾脏替代疗法(即透析和移植)费用高昂,因此只有部分发展中国家能够提供。因此,改善对患有肾脏疾病儿童的护理需要更丰富的医学知识、护士培训及大众宣传。