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新生儿肾结石:一例罕见病例及文献综述

Nephrolithisis in a newborn: a rare case and review of literature.

作者信息

Singh Kawaljit, Sokhal Ashok Kumar, Sankhwar Satyanarayan, Purkait Bimalesh

机构信息

Urology, King George Medical University, Lucknow, Uttar Pradesh, India.

出版信息

BMJ Case Rep. 2017 Aug 3;2017:bcr-2016-218391. doi: 10.1136/bcr-2016-218391.

Abstract

Nephrolithiasis, although a common entity in adults, is less common in children and rare in newborns. The evaluation and management strategies of renal stones in neonates are unclear. We report a rare scenario of renal calculus in a newborn aged 3 days presenting with decreased urine output, fever and crying during micturition. Patient was thoroughly investigated and managed conservatively. Further follow-up showed increase in stone size with recurrent urinary tract infections, hence shock wave lithotripsy was performed to successfully break and clear the stone fragments. Patient recovered well and was doing fine until last follow-up.

摘要

肾结石在成年人中虽属常见病症,但在儿童中较少见,在新生儿中则极为罕见。新生儿肾结石的评估和管理策略尚不清楚。我们报告了一例罕见的3日龄新生儿肾结石病例,该患儿表现为尿量减少、发热以及排尿时哭闹。对患儿进行了全面检查并采取保守治疗。进一步随访发现结石增大且反复出现尿路感染,因此实施了冲击波碎石术,成功击碎并清除了结石碎片。患儿恢复良好,直至最后一次随访情况都很不错。

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Nephrocalcinosis and urolithiasis in children.儿童肾钙质沉着症和尿路结石。
Kidney Int. 2011 Dec;80(12):1278-91. doi: 10.1038/ki.2011.336. Epub 2011 Sep 28.
4
Urolithiasis in infants.婴儿尿路结石症
Pediatr Surg Int. 2007 Apr;23(4):295-9. doi: 10.1007/s00383-007-1889-7. Epub 2007 Feb 8.
5
Antenatal diagnosis of fetal renal calculus.
Ultrasound Obstet Gynecol. 2005 May;25(5):517-8. doi: 10.1002/uog.1850.
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Urolithiasis in adolescent children.青少年儿童的尿路结石病
Adolesc Med Clin. 2005 Feb;16(1):87-109. doi: 10.1016/j.admecli.2004.10.003.
9
Epidemiology of paediatric renal stone disease in the UK.英国儿童肾结石病的流行病学
Arch Dis Child. 2003 Nov;88(11):962-5. doi: 10.1136/adc.88.11.962.

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