Lee S D
Family Health Services, Kansas City, KS 66103.
J Am Board Fam Pract. 1989 Jan-Mar;2(1):55-7.
While the association of obstructive uropathy with ascites has been known since 1863, and with pleural effusion since 1954, the latter combination remains rare. This case report describes a male newborn with a massive left pleural effusion that was caused by same-sided hydronephrosis from obstructing posterior urethral valves. The effusion disappeared within a few days after adequate urinary drainage was established, and the infant was remained well since the abnormal urethral valves were fulgurated cystoscopically. Review of the clinical and experimental literature reveals no consensus about how pleural fluid accumulates in the presence of obstructive uropathy, and this neonate showed a direct inverse relation between the amount of pleural fluid drainage and urinary output via catheter. Hydronephrosis should be considered diagnostically when a newborn has a pleural effusion that is otherwise unexplained.
虽然梗阻性尿路病与腹水的关联自1863年就已为人所知，与胸腔积液的关联自1954年就已为人所知，但后一种组合仍然罕见。本病例报告描述了一名男性新生儿，其左侧大量胸腔积液由后尿道瓣膜梗阻导致的同侧肾积水引起。在建立充分的尿液引流后，积液在几天内消失，并且自通过膀胱镜电灼异常尿道瓣膜后，婴儿一直状况良好。对临床和实验文献的回顾显示，对于梗阻性尿路病情况下胸腔积液如何积聚尚无共识，并且该新生儿显示胸腔积液引流量与通过导管的尿量之间存在直接反比关系。当新生儿出现无法解释的胸腔积液时，应考虑诊断为肾积水。
