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对从1964—1983年连续住院的1785名急性烧伤患儿进行回顾性研究,发现其中91例患儿有血尿,并对其发生原因进行了评价。其中50例有尿路感染(92%曾有尿路插管史)最常见的致病菌为白色念珠菌和混合性细菌感染。有10例尿路感染患儿死亡,包括5例系念珠菌感染者。14例患儿有肾结石,大量摄取乳制品和抗酸剂以及长期不活动可能促使肾结石形成。7例血尿患儿系因尿路插管损伤所致。尸检时发现3例肾静脉血栓形成,临床诊断的一例肾静脉血栓患儿经手术
A retrospective study of 1,785 children with acute burn who were hospitalized consecutively from 1964 to 1983 found that 91 of them had hematuria and their causes were evaluated. Of these, 50 had urinary tract infections (92% had history of urinary catheterization). The most common pathogens were Candida albicans and mixed bacterial infections. Ten patients died of urinary tract infection, including five cases of Candida infection. Fourteen children had kidney stones, extensive intake of dairy products and antacids, and long-term inactivity that could contribute to the formation of kidney stones. 7 cases of hematuria due to urinary tract catheter injury. At necropsy, three cases of renal vein thrombosis were found. One case of renal vein thrombosis was clinically diagnosed by surgery