摘要
目的了解受三聚氰胺污染的婴幼儿配方奶粉致婴幼儿泌尿系结石急、重症的临床特点,总结其诊治经验。方法回顾性分析28例三聚氰胺致婴幼儿泌尿系结石急、重症的临床资料。结果行膀胱镜留置输尿管支架管术17例(60.71%),行开放手术取石术5例(17.86%),行导尿、利尿、消炎、解痉治疗4例(14.28%),行膀胱镜留置输尿管支架管术后再行开放手术取石2例(7.14%)。出院时,23例患儿肾输尿管结石完全消失,5例有结石残留,其中3例患儿肾结石、肾积水或存在单侧输尿管结石从而术后再次发生尿路梗阻。结论三聚氰胺致婴幼儿泌尿系结石可早期形成及发病,急、重症以无尿、少尿、排尿困难为主要临床表现,超声检查是最简便的检查,CT能进一步明确结石的部位和积水程度,膀胱镜留置输尿管支架管效果明显、创伤小。
【Objective】To understand the clinical characteristics and diagnosis of severe acute case of pediatric urolithiasis in infants and toddlers caused by melamine contamination infant formula milk.【Methods】The clinical data of 28 cases was collected and analyzed.【Results】Total of 28 patients,Indwelling ureteral stents（D-J tube） by cystoscopy in 17 cases（60.71%）,catheterization,underwent open operation to extract calculus in 5 cases（17.86%）,catheterization,diuretic,anti-inflammatory,antispasmodic treatment for 4 patients（14.28%）,re-open operation to extract calculus after Indwelling ureteral stents（D-J tube） by cystoscopy in 2 cases（7.14%）.Finally,23 patients had stone disappeared,and 5 patients had residual stones.In 5 cases,3 patients with kidney stones,hydronephrosis,or to have unilateral ureteral stone caused Urinary obstruction again after the operation.【Conclusions】Infants and toddlers＇ urolithiasis caused by melamine can be early formed and the onset,acute anuria,oliguria,dysuria were most common symptoms,Ultrasonic inspection is easy to examine urinary stone,CT scan can further clarify the position of the stone and the degree of dropsy,ureteral stenting via cystoscopy is a minimal trauma and has significant good prognosis.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第1期15-19,共5页
China Journal of Endoscopy
关键词
婴幼儿
三聚氰胺
泌尿系结石
急重症
infants and toddlers
melamine
urolithiasis
severe acute case
