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儿童日间尿频异常

Extraordinary daytime urinary frequency in children.

作者信息

Cohen H A, Nussinovitch M, Kauschansky A, Straussberg R, Ashkenasi A, Frydman M, Varsano I

机构信息

Community Children's Clinic, Petah Tiqwah, Israel.

出版信息

J Fam Pract. 1993 Jul;37(1):28-9.

PMID:8345336
Abstract

BACKGROUND

Sudden onset of daytime urinary frequency of a small amount of urine in a previously toilet-trained child can be a disturbing problem. Psychosocial problems, problems at school, or problems within the family have to be taken into consideration.

METHODS

Fifteen children with sudden onset of isolated daytime urinary frequency were evaluated and followed for a period of 12 to 18 months. A thorough medical and family history was obtained for each child, with special attention given to any psychosocial problems the child had experienced. All the children underwent a physical examination, complete urinalysis, and ultrasonography of the kidneys and bladder.

RESULTS

In all of the patients, the urinalysis and ultrasonographic findings were within normal limits. A trigger factor was identified as the cause of urinary frequency in each case.

CONCLUSIONS

Because urinary frequency is usually a benign self-limited condition, an extensive urological evaluation is not indicated. In most cases, providing reassurance to the parents and the child is the only intervention necessary.

摘要

背景

对于之前已养成良好如厕习惯的儿童,突然出现白天尿频且尿量少是一个令人困扰的问题。必须考虑心理社会问题、学校问题或家庭内部问题。

方法

对15例突然出现孤立性白天尿频的儿童进行了评估,并随访12至18个月。为每个儿童获取了详尽的病史和家族史,特别关注儿童所经历的任何心理社会问题。所有儿童均接受了体格检查、完整的尿液分析以及肾脏和膀胱超声检查。

结果

所有患者的尿液分析和超声检查结果均在正常范围内。在每个病例中都确定了一个触发因素作为尿频的原因。

结论

由于尿频通常是一种良性自限性疾病,因此无需进行广泛的泌尿外科评估。在大多数情况下,向家长和孩子提供 reassurance 是唯一必要的干预措施。 (注:“reassurance”此处翻译为“安抚”更合适,但按照要求保留原文)

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