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儿童尿路感染中的性别差异。

Sex differences in childhood urinary tract infection.

作者信息

Bergström T

出版信息

Arch Dis Child. 1972 Apr;47(252):227-32. doi: 10.1136/adc.47.252.227.

Abstract

Comparison of the clinical picture of nonobstructed urinary tract infection in boys and in girls over the age of 1 year revealed marked differences. The male infections were characterized by a high rate of `atypical' bacterial aetiology, macroscopical haematuria, and normal temperature, as compared to the female ones. The proportion of patients getting recurrent infections during long-term follow-up was the same in the two sexes. The number of recurrences was, however, higher in the girls than in the boys. Radiological changes similar to postinfectious scar formation were found in 20% of the boys at their apparent first infection.

摘要

对1岁以上男童和女童非梗阻性尿路感染临床表现的比较显示出明显差异。与女童相比,男童感染的特点是“非典型”细菌病因发生率高、肉眼血尿和体温正常。在长期随访中发生反复感染的患者比例在两性中相同。然而,女童的复发次数高于男童。在明显首次感染时,20%的男童发现有类似于感染后瘢痕形成的放射学改变。

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本文引用的文献

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The radiological diagnosis of pyelonephritis.肾盂肾炎的放射学诊断。
Proc R Soc Med. 1959 Aug;52(8):669-72. doi: 10.1177/003591575905200819.
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Review of recurrent urinary-tract infections in infancy and early childhood.
N Engl J Med. 1963 Jan 10;268:75-7. doi: 10.1056/NEJM196301102680204.
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Renal function studies in infants and children with acute, nonobstructive urinary tract infections.
Acta Paediatr (Stockh). 1959 Nov;48:577-89. doi: 10.1111/j.1651-2227.1959.tb16425.x.

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