Wierzchowska E, Czyzowska J, Stepniewski S
Wojewódzkiego Specjalistycznego, Szpitala Dzieciecego im. Sw. Ludwika w Krakowie.
Przegl Lek. 1997;54(7-8):554-7.
Microscopic hematuria was diagnosed in case of 102 children out of 2505 hospitalised in Provincial Special Hospital at Children's Ward, which is of all treated children. The most numerous age group were school children. The most common reason of microscopic hematuria was infection of urinary system which was found in case of 34 children (33%). Isolated microscopic hematuria was infection of urinary system which was found in case of 34 children (33%). Isolated microscopic hematuria was diagnosed in 39 cases (38%) and in 23 cases out of these, which is more than a half (59%), the threat of urolithiasis was recognised. The percentage of cases with the threat of urolithiasis with reference to the number of all children with microscopic hematuria was 23. This would suggest the necessity of examining patients in the direction of hypercrystalluria with microscopic hematuria, especially the isolated one. Increased excretion of uric acid was discovered in 52% cases, which is much more common than the increased excretion of calcium, stated in 35% cases of urolithiasis threat. In case of 13% of those children increased excretion of both above mentioned elements was discovered. In case of 16 children (15%) out of 102 children with microscopic hematuria, no final diagnosis was made and microscopic hematuria was supposed to be idiopathic.
在省级儿童医院病房住院的2505名儿童中，有102名被诊断为镜下血尿，占所有接受治疗儿童的一定比例。人数最多的年龄组是学龄儿童。镜下血尿最常见的原因是泌尿系统感染，在34名儿童（33%）中发现。孤立性镜下血尿在39例（38%）中被诊断出来，其中23例（超过一半，即59%）被认为有尿路结石的风险。有尿路结石风险的病例数占所有镜下血尿儿童病例数的百分比为23%。这表明有必要对镜下血尿患者，尤其是孤立性镜下血尿患者，进行高尿酸尿症方面的检查。52%的病例发现尿酸排泄增加，这比35%有尿路结石风险病例中所述的钙排泄增加更为常见。在这些儿童中，13%的病例发现上述两种元素的排泄都增加。在102名镜下血尿儿童中，有16名（15%）未做出最终诊断，镜下血尿被认为是特发性的。
