儿童持续性镜下血尿处理方法。
Approach to Persistent Microscopic Hematuria in Children.
机构信息
Division of Pediatric Nephrology, Nationwide Children's Hospital, Columbus, Ohio.
Division of Pediatric Nephrology, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
出版信息
Kidney360. 2020 Jul 10;1(9):1014-1020. doi: 10.34067/KID.0003222020. eCollection 2020 Sep 24.
Persistent isolated microscopic hematuria is relatively common in pediatric practice, affecting around 0.25% of children. Isolated microscopic hematuria can be caused by a myriad of potentially benign or serious causes, including urologic issues; kidney stones; glomerular diseases, including disorders of the glomerular basement membrane; hematologic abnormalities; and others. The challenge for the pediatrician or pediatric nephrologist is to distinguish children with potentially progressive forms of kidney disease versus other causes while minimizing cost and inconvenience for the child and family. This manuscript will review the multiple potential causes of microscopic hematuria and provide a framework for the initial evaluation and monitoring of such patients.
持续性孤立性镜下血尿在儿科实践中较为常见，约影响 0.25%的儿童。孤立性镜下血尿可由多种潜在良性或严重病因引起，包括泌尿系统问题；肾结石；肾小球疾病，包括肾小球基底膜疾病；血液系统异常；以及其他。儿科医生或儿童肾病学家的挑战是区分可能具有进行性肾病形式的儿童与其他病因，同时尽量减少儿童和家庭的费用和不便。本文将回顾镜下血尿的多种潜在病因，并为这些患者的初始评估和监测提供一个框架。
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