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[生命最初2年的尿路感染。问诊在识别有泌尿系统畸形病风险的儿童中的作用]

[Urinary tract infections in the first 2 years of life. Usefulness of anamnesis in the identification of at risk subjects with malformation uropathies].

作者信息

Benigno V, Varia F, Failla M C, Cusimano R A, Ziino Colanino G, Basile A, Virgilio C, Sagona C, Di Franco A

机构信息

Istituto di Pediatria, Università di Palermo, Italia.

出版信息

Pediatr Med Chir. 1990 Nov-Dec;12(6):621-4.

PMID:2093883
Abstract

We have retrospectively studied 101 patients with an age below 24 months consecutively hospitalized, for symptomatic urinary tract infections, in the "Ospedale dei Bambini" of Palermo and subjected to radiological studies (urography and voiding cystouretrography). We have considered if the symptoms and the clinical objectivity could have given useful indications in the choice of the patients to be subjected to radiological studies. The clinical-anamnestic data have not allowed to distinguish, among patients with U.T.I., between the individuals with an abnormal conformation those with a normal one; however they have allowed to focus our attention on patients with U.T.I. through the singling out of some symptoms such as fever, vomit, cyanosis and anomaly micturition. Another datum standing out from our study is that the beginning of the symptoms in patients with U.T.I. was more precocious if at their basis there was urinary malformation.

摘要

我们回顾性研究了连续入住巴勒莫“儿童医院”的101名年龄在24个月以下、因有症状的尿路感染而住院并接受放射学检查(静脉肾盂造影和排尿性膀胱尿道造影)的患者。我们考虑了症状和临床客观表现是否能为选择接受放射学检查的患者提供有用的指征。临床病史资料无法在尿路感染患者中区分出解剖结构异常者和正常者;然而,通过找出发热、呕吐、发绀和排尿异常等一些症状,这些资料使我们将注意力集中在了尿路感染患者身上。我们研究中另一个突出的数据是,如果尿路感染患者存在泌尿系统畸形,其症状出现得更早。

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