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全市范围内对男学生进行尿液异常筛查。

City-wide screening for urinary abnormalities in schoolboys.

作者信息

Silverberg D S

出版信息

Can Med Assoc J. 1974 Sep 7;111(5):410-2.

Abstract

Screening for urinary tract infection was carried out in 27,722 schoolboys aged 5 to 14 using Uricult to perform urine cultures and Hema-combistix to detect hematuria, proteinuria and glycosuria. Cultures of 10(5) colonies per ml or more on two occasions were found in 40 cases (0.14%), but no case was confirmed by the family physician using standard culture techniques.Proteinuria was found in 136 cases (0.49%) and confirmed in 47 (37%) of the 126 children who were seen by their family physician. In this group 8.8% had evidence of pyelonephritic scarring on intravenous pyelograms without a positive urine culture.Hematuria was found in 19 children and confirmed in 10 (59%) of the 17 children who were seen by their family physician. No abnormalities were detected on intravenous pyelography in any case.Glycosuria was found in 12 cases and confirmed in five. Three of these children had renal glycosuria and two had previously undetected diabetes.

摘要

对27722名5至14岁的男学生进行了尿路感染筛查,使用Uricult进行尿培养,并用尿联试纸检测血尿、蛋白尿和糖尿。两次培养每毫升菌落数达10⁵个或更多的情况在40例中出现(0.14%),但家庭医生采用标准培养技术未确诊任何病例。136例发现蛋白尿(0.49%),在家庭医生看过的126名儿童中,47例(37%)得到确诊。在该组中,8.8%的儿童静脉肾盂造影显示有肾盂肾炎瘢痕形成,但尿培养为阴性。19名儿童发现血尿,在家庭医生看过的17名儿童中,10例(59%)得到确诊。所有病例静脉肾盂造影均未发现异常。12例发现糖尿,5例得到确诊。其中3名儿童为肾性糖尿,2名儿童此前未被发现患有糖尿病。

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