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C反应蛋白、尿乳酸脱氢酶及肾脏浓缩能力在婴幼儿泌尿道感染定位诊断中的价值(作者译)

[Value of the C reactive protein, urinary lactic dehydrogenase and renal capacity of concentration in the topographic diagnosis of the urinary infection in infancy (author's transl)].

作者信息

Málaga S, Matesanz J L, Diéguez M A, Crespo M

出版信息

An Esp Pediatr. 1978 Jun-Jul;11(6-7):485-96.

PMID:697217
Abstract

In 39 children with urinary infection renal capacity of concentration, serum C-reactive protein and presence of urinary lactic dehydrogenase are studied pointing to the establishment of the topography of the damage. C-reactive protein levels higher than 20 micrograms/ml are 100 per 100 reliable in the diagnosis of pyelonephritis. Moreover, value of this test is confirmed as a guide of therapeutic efficacity. Difficulty of concentrating urine above 800 mOsm/l is 70 per 100 reliable and is a useful method for demonstrating parenchymal damage. The urinary lactic dehydrogenase was superior to 20 units/l in 64 per 100 of the cases, but other studies are necessary for interpretation of these data. These findings are similar to those obtained in the study of the isoenzymes.

摘要

对39名泌尿系统感染儿童的肾脏浓缩功能、血清C反应蛋白及尿乳酸脱氢酶进行了研究,以确定损伤的部位。C反应蛋白水平高于20微克/毫升对肾盂肾炎的诊断有100%的可靠性。此外,该检测值可作为治疗效果的指导,得到了证实。尿液浓缩能力低于800毫渗量/升有70%的可靠性,是显示实质损伤的一种有用方法。64%的病例尿乳酸脱氢酶高于20单位/升,但对这些数据的解读还需要其他研究。这些发现与同工酶研究结果相似。

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