Bhat Rahul G, Katy Tamara A, Place Frederick C
Department of Emergency Medicine, Georgetown University Hospital, Washington, DC 20007, USA.
Emerg Med Clin North Am. 2011 Aug;29(3):637-53. doi: 10.1016/j.emc.2011.04.004.
Urinary tract infections (UTIs) in children are commonly seen in the emergency department and pose several challenges to establishing the proper diagnosis and determining management. This article reviews pediatric UTI and addresses epidemiology, diagnosis, treatment, and imaging, and their importance to the practicing emergency medicine provider. Accurate and timely diagnosis of pediatric UTI can prevent short-term complications, such as severe pyelonephritis or sepsis, and long-term sequelae including scarring of the kidneys, hypertension, and ultimately chronic renal insufficiency and need for transplant.
儿童尿路感染(UTIs)在急诊科很常见,在确立正确诊断和确定治疗方案方面存在诸多挑战。本文回顾了儿童尿路感染,并探讨了其流行病学、诊断、治疗和影像学,以及它们对急诊医学从业者的重要性。准确及时地诊断儿童尿路感染可以预防短期并发症,如严重肾盂肾炎或败血症,以及长期后遗症,包括肾脏瘢痕形成、高血压,最终导致慢性肾功能不全和需要进行移植。