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新生儿期诊断出的尿路疾病:症状学与病程

Uropathies diagnosed in the neonatal period: symptomatology and course.

作者信息

Bensman A, Baudon J J, Jablonski J P, Lasfargues G

出版信息

Acta Paediatr Scand. 1980 Jul;69(4):499-503. doi: 10.1111/j.1651-2227.1980.tb07121.x.

Abstract

Forty infants with a uropathy diagnosed during the first two months of life were studied. Presenting signs were urinary tract infection in one-half of the cases, disorders of micturition, pelvic or abdominal wall malformations, abdomino-pelvic mass, and macroscopic hematuria. Obstructive uropathy was observed in 17 children and vesicoureteric reflux in 29. We noted a high incidence of extrarenal malformations (14 of the 40 cases) in this series of uropathies diagnosed during the neonatal period. Despite early diagnosis, the course was not favorable in 11 cases with congenital anomalies of the renal parenchyma.

摘要

对40例在出生后头两个月内被诊断为泌尿系统疾病的婴儿进行了研究。半数病例的首发症状为尿路感染、排尿障碍、盆腔或腹壁畸形、腹盆腔肿块以及肉眼血尿。17名儿童观察到梗阻性泌尿系统疾病,29名儿童观察到膀胱输尿管反流。在这一系列新生儿期诊断的泌尿系统疾病中,我们注意到肾外畸形的发生率很高(40例中有14例)。尽管进行了早期诊断,但11例肾实质先天性异常的患儿病情并不乐观。

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