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通过腹部触诊检测新生儿肾脏异常。

Detection of renal anomalies by abdominal palpation in newborn infants.

作者信息

Perlman M, Williams J

出版信息

Br Med J. 1976 Aug 7;2(6031):347-9. doi: 10.1136/bmj.2.6031.347.

DOI:10.1136/bmj.2.6031.347
PMID:947418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1687284/
Abstract

In a new technique of palpation for renal anomalies in the newborn one hand supports the infant while the fingers of the other hand support the loin and the thumb explores the abdomen. In a series of 11 000 otherwise normal newborn children superficial palpation detected 11 renal anomalies, and deep palpation led to the discovery of another 42 anomalies. One of two other series in which palpation was performed bimanually gave a similar incidence of renal anomalies (0-5%). Early discovery of an asymptomatic anomaly enables early treatment of the complications that are often found in patients with congenital renal anomalies detected in later life.

摘要

在一种用于新生儿肾异常触诊的新技术中,一只手支撑婴儿,另一只手的手指支撑腰部,拇指探查腹部。在一系列共11000名其他方面正常的新生儿中,浅触诊发现了11例肾异常,深触诊又发现了另外42例异常。另外两个进行双手触诊的系列研究之一给出了相似的肾异常发生率(0 - 5%)。无症状异常的早期发现能够对那些在以后生活中才被发现的先天性肾异常患者中经常出现的并发症进行早期治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2063/1687284/b03b014f3a17/brmedj00529-0012-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2063/1687284/514449d82e4e/brmedj00529-0012-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2063/1687284/b03b014f3a17/brmedj00529-0012-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2063/1687284/514449d82e4e/brmedj00529-0012-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2063/1687284/b03b014f3a17/brmedj00529-0012-b.jpg

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1
Detection of renal anomalies by abdominal palpation in newborn infants.通过腹部触诊检测新生儿肾脏异常。
Br Med J. 1976 Aug 7;2(6031):347-9. doi: 10.1136/bmj.2.6031.347.
2
Renal anomalies in the newborn found by deep palpation.
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本文引用的文献

1
Analysis of 51 patients with horseshoe kidney.对51例马蹄肾患者的分析。
N Engl J Med. 1959 Oct 1;261:684-7. doi: 10.1056/NEJM195910012611402.
2
Prognosis of the solitary kidney.孤立肾的预后。
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Abnormalities of the genitourinary tract discovered by palpation of the abdomen of the newborn.通过触诊新生儿腹部发现的泌尿生殖道异常。
Pediatrics. 1956 Nov;18(5):782-9.
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Indications for urologic examination in children.儿童泌尿外科检查的适应证。
Pediatr Clin North Am. 1955 Aug:653-66. doi: 10.1016/s0031-3955(16)30252-8.
5
Wilms' tumor in the crossed ectopic kidney.
J Pediatr Surg. 1975 Aug;10(4):555-6. doi: 10.1016/0022-3468(75)90206-7.