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[实验室参数作为儿童尿路感染放射学研究的指导]

[Laboratory parameters as a guide for the radiologic study of infections of the urinary tract in childhood].

作者信息

Benigno V, Di Peri S, Distefano F, Como G, Boncori R

出版信息

Pediatr Med Chir. 1986 Jan-Feb;8(1):91-3.

PMID:3725620
Abstract

Forty-nine children with urinary tract infection aged between 15 days and 10 years were studied. Thirty-three of them (67.3%) had urinary tract malformations. We valued the following parameters: a) White Blood Cells; b) Leukocyte differential; c) ESR at the first hour; d) CRP; e) Concentration ability; f) Body temperature. We wanted to investigate the usefulness of these parameters to predict which patients should be studied by X-ray of urinary tract. Single parameters did not prove very sensitive; the highest correlations were found with ESR and CRP, which were positive in 76% of the cases of malformations. Furthermore we valued the sensitivity and specificity of the tests grouped together: the highest values of sensitivity (97%) and specificity (31%) were obtained coupling the ESR and concentration ability.

摘要

对49名年龄在15天至10岁之间的尿路感染儿童进行了研究。其中33名(67.3%)患有尿路畸形。我们评估了以下参数:a)白细胞;b)白细胞分类;c)第1小时血沉;d)C反应蛋白;e)浓缩能力;f)体温。我们想研究这些参数对预测哪些患者应接受尿路X线检查的有用性。单一参数的敏感性并不高;血沉和C反应蛋白的相关性最高,在76%的畸形病例中呈阳性。此外,我们评估了组合测试的敏感性和特异性:血沉和浓缩能力相结合时,获得了最高的敏感性(97%)和特异性(31%)值。

相似文献

1
[Laboratory parameters as a guide for the radiologic study of infections of the urinary tract in childhood].[实验室参数作为儿童尿路感染放射学研究的指导]
Pediatr Med Chir. 1986 Jan-Feb;8(1):91-3.
2
Alterations of peripheral leukocyte count, erythrocyte sedimentation rate, and C-reactive protein in febrile urinary tract infection.发热性尿路感染时外周血白细胞计数、红细胞沉降率及C反应蛋白的变化
Iran J Kidney Dis. 2008 Jul;2(3):137-42.
3
Urinary tract infections in children from the perspective of a pediatric urologist.从儿科泌尿科医生的角度看儿童尿路感染
Del Med J. 1978 Aug;50(8):425-8, 431-2.
4
Dependence among host response parameters used to diagnose urinary tract infection.
J Infect Dis. 1991 Feb;163(2):331-5. doi: 10.1093/infdis/163.2.331.
5
[Urinary infections in children].
Tunis Med. 1973 Mar-Apr;51(2):97-101.
6
Urinary tract infection in infancy.婴儿期尿路感染
N Z Med J. 1972 May;75(480):282-4.
7
Proposed selective approach to radiographic evaluation of children with urinary tract infections.
Birth Defects Orig Artic Ser. 1977;13(5):433-8.
8
Urinary tract infections in children.儿童尿路感染
Am Fam Physician. 1984 Jan;29(1):147-53.
9
[Urinary tract abnormalities with anorrectal malformations (author's transl)].伴有肛门直肠畸形的泌尿系统异常(作者译)
An Esp Pediatr. 1978 Jan;11(1):35-42.
10
[Imaging and the first urinary infection in children. Respective role of each test during the initial evaluation apropos of 122 cases].
J Radiol. 1989;70(4):279-83.

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