Gattineni Jyothsna
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235-9063, USA.
Int J Pediatr. 2012;2012:768142. doi: 10.1155/2012/768142. Epub 2012 Jul 12.
The identification of hematuria or proteinuria in an otherwise healthy child can cause anxiety to both the family and the pediatrician. The etiology of hematuria and proteinuria includes a long list of conditions, and detailed workup can be exhaustive, expensive and not essential in most of the patients. As will be described in this paper, most of the children with proteinuria or hematuria have a benign etiology. The primary role of the pediatrician is to identify hematuria/proteinuria, recognize the common causes of hematuria/proteinuria, and more importantly identify children with serious conditions that need referral to the nephrologist in a timely manner.
在其他方面健康的儿童中发现血尿或蛋白尿会使家庭和儿科医生都感到焦虑。血尿和蛋白尿的病因包括一长串病症，详细的检查可能会很详尽、昂贵，而且对大多数患者来说并非必要。如本文所述，大多数有蛋白尿或血尿的儿童病因是良性的。儿科医生的主要职责是识别血尿/蛋白尿，认识血尿/蛋白尿的常见病因，更重要的是识别出患有严重病症、需要及时转诊给肾病科医生的儿童。
