Kheradpir M H, Bodaghi E
Department of Pediatric Surgery and Pediatric Nephrology, Children's Hospital Medical Center, Teheran, Iran.
Child Nephrol Urol. 1988;9(5):295-7.
The incidence of calculus anuria is relatively high in Iran. Eighteen children with this picture were studied in our departments between 1972 and 1984. The cause of anuria was bilateral obstruction by the calculi (14 cases), unilateral obstruction with a nonfunctioning kidney (3 cases) or aplasia on the other side (1 case). As demonstrated by our study, the cause of stone formation was a metabolic disorder in 50% of the children. This indicates that with anuria created by calculi formation, more consideration should be given to the possibility of metabolic disorders than has so far been the case. Further research should therefore be carried out in this respect, particularly in cases of the lower age range with indications of parental consanguinity, multiple and bilateral calculi, repeated calculi and repeated admissions, which were frequently observed by us.
在伊朗,结石性无尿的发病率相对较高。1972年至1984年间,我们科室对18例出现此症状的儿童进行了研究。无尿的原因是结石双侧梗阻(14例)、单侧梗阻伴患侧肾脏无功能(3例)或对侧肾发育不全(1例)。我们的研究表明,50%的儿童结石形成原因是代谢紊乱。这表明,对于结石形成导致的无尿,应比以往更多地考虑代谢紊乱的可能性。因此,应在这方面开展进一步研究,特别是针对我们经常观察到的低龄儿童,这些儿童有父母近亲结婚、多发及双侧结石、反复出现结石和反复住院的迹象。