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石器时代早期的一则故事:小儿输尿管结石酷似阑尾炎——病例报告及处理概述

A Tale From the Early Stone Age: Pediatric Ureterolithiasis as Appendicitis Mimic - A Case Report and Management Overview.

作者信息

Larson Neil P, Bridwell Rachel E, Yoo Michael J

机构信息

Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

出版信息

Cureus. 2020 Sep 24;12(9):e10637. doi: 10.7759/cureus.10637.

DOI:10.7759/cureus.10637
PMID:33123450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584291/
Abstract

Ureterolithiasis in the pediatric population is uncommon and may mimic acute abdomen. While the majority of small stones pass spontaneously, complications may ultimately warrant surgical intervention. As the majority of affected patients have a predisposing condition, targeted therapy with close and consistent follow-up may prevent recurrence, emphasizing timely diagnosis. The authors present the case of a previously healthy 13-year-old boy with eight days of right lower quadrant abdominal pain and emesis, who was found to have a distal ureteral stone necessitating surgical intervention.

摘要

小儿输尿管结石并不常见,可能会表现为急腹症。虽然大多数小结石可自行排出,但并发症最终可能需要手术干预。由于大多数受影响的患者有易感因素,针对性治疗并密切持续随访可能预防复发,这强调了及时诊断的重要性。作者报告了一例病例,一名此前健康的13岁男孩,右下腹痛伴呕吐8天,经检查发现远端输尿管结石,需要进行手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f31/7584291/82a594b7a5e8/cureus-0012-00000010637-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f31/7584291/82a594b7a5e8/cureus-0012-00000010637-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f31/7584291/82a594b7a5e8/cureus-0012-00000010637-i01.jpg

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本文引用的文献

1
What predicts spontaneous passage of ≤1 cm ureteral stones in children?哪些因素可预测儿童输尿管直径≤1cm 的结石自发排出?
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Urology. 2019 Jul;129:180-187. doi: 10.1016/j.urology.2019.04.012. Epub 2019 Apr 18.
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Pediatric Stone Disease.小儿结石病
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An overview of kidney stone imaging techniques.肾脏结石影像学技术概述。
Nat Rev Urol. 2016 Nov;13(11):654-662. doi: 10.1038/nrurol.2016.154. Epub 2016 Aug 31.
5
Patient and stone characteristics associated with surgical intervention in pediatrics.与儿科手术干预相关的患者及结石特征。
Can J Kidney Health Dis. 2015 Jun 2;2:22. doi: 10.1186/s40697-015-0057-6. eCollection 2015.
6
Trends in imaging and surgical management of pediatric urolithiasis at American pediatric hospitals.美国儿科医院小儿尿石症的影像学和手术治疗趋势。
J Urol. 2010 Oct;184(4 Suppl):1816-22. doi: 10.1016/j.juro.2010.03.117. Epub 2010 Aug 21.
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Hospitalizations for pediatric stone disease in United States, 2002-2007.美国 2002-2007 年小儿结石病住院情况。
J Urol. 2010 Mar;183(3):1151-6. doi: 10.1016/j.juro.2009.11.057. Epub 2010 Jan 22.
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Ultrasound versus computerized tomography for evaluating urolithiasis.超声与计算机断层扫描在评估尿路结石方面的比较。
J Urol. 2009 Oct;182(4 Suppl):1829-34. doi: 10.1016/j.juro.2009.03.072. Epub 2009 Aug 19.
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Pediatric urolithiasis: experience at a tertiary care pediatric hospital.小儿尿石症:一家三级护理儿童医院的经验
Can Urol Assoc J. 2008 Aug;2(4):381-6. doi: 10.5489/cuaj.804.
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Pediatric kidney stones: long-term outcomes.小儿肾结石:长期预后
Urology. 2006 Apr;67(4):812-6. doi: 10.1016/j.urology.2005.10.020. Epub 2006 Mar 29.