Málaga S, Matesanz J L, Diéguez M A, Crespo M
An Esp Pediatr. 1978 Jun-Jul;11(6-7):485-96.
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.
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。