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[出生后前三个月与泌尿道感染相关的黄疸。66例病例研究(作者译)]

[Jaundice associated with urinary infection in the first three months of life. Study of 66 cases (author's transl)].

作者信息

Moraga Llop F A, Del Alcázar Muñoz R, Casado Toda M, Fito Costas A, Gallart Catalá A, Vidal Rosell M T

出版信息

An Esp Pediatr. 1980 Jan;13(1):5-16.

PMID:7369637
Abstract

Sixty-six infants aged 8 days to 3 months presented jaundice as a sign of urinary infection during a ten-year period 1968-1977. The main clinical and biochemical aspects are described. "E.coli" grew in 49 urine cultures (74.2%), but other bacteria were also found ("Klebsiella", "Proteus", "Pseudomonas", "A. aerogenes"). Hepatic function tests seem to prove that intrahepatic colostasis is the main mechanism involved, although hemolysis was also found in some cases. The importance of considering urinary infection in the diagnosis of jaundice during infancy is stressed.

摘要

在1968年至1977年的十年间,66名年龄在8天至3个月的婴儿出现黄疸,作为泌尿道感染的一个体征。文中描述了主要的临床和生化方面情况。49份尿培养(74.2%)中培养出“大肠杆菌”,但也发现了其他细菌(“克雷伯菌属”、“变形杆菌属”、“假单胞菌属”、“产气杆菌”)。肝功能检查似乎证明肝内胆汁淤积是主要涉及的机制,尽管在某些病例中也发现了溶血情况。强调了在婴儿期黄疸诊断中考虑泌尿道感染的重要性。

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