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儿童髓质海绵肾11例临床分析

朱雪萍 肖志辉 丁晓春 冯星

中国实用儿科杂志2012,Vol.27Issue(6):443-445,3.
中国实用儿科杂志2012,Vol.27Issue(6):443-445,3.

儿童髓质海绵肾11例临床分析

Clinical data analysis of 11 cases of medullary sponge kidney in children

朱雪萍 1肖志辉 1丁晓春 1冯星1

作者信息

  • 1. 苏州大学附属儿童医院新生儿科,江苏苏州215003
  • 折叠

摘要

Abstract

Objective To achieve early diagnosis and treatment as well as to improve prognosis through literature review and clinical features of medullary sponge kidney in children. Methods Eleven children with medullary sponge kidney admitted to the Affiliated Children' s Hospital from Jan 2005 to Dec 2010 were retrospectively analyzed. Results Among the 11 cases, there were 3 male and 8 female, agied from 48 days to 17 years (6 were within 1 year old and 5 were above 3 years old). None of these cases were clinically specific, and all were image-diagnosed to be bilateral medullary sponge kidney. The clinical demonstrations included: recurrent urinary tract infection (5 cases), distal renal tubular acidosis (7 cases), kidney stones (1 case), hypertension (2 cases), malnutrition and growth retardation (6 cases), renal failure (2 cases), and adrenal cortical hyperfunction (lease). Conclusion Medullary sponge kidney in early childhood is not clinical specific but with diverse clinical manifestations. The early diagnosis could be based on laboratory examinations; abdominal ultrasound and CT can be used as firet choice. In the occasion of complications, a reasonable treatment can improve the prognosis.

关键词

儿童/髓质海绵肾/尿路感染

Key words

child/ medullary sponge kidney/ urinary tract infection

分类

医药卫生

引用本文复制引用

朱雪萍,肖志辉,丁晓春,冯星..儿童髓质海绵肾11例临床分析[J].中国实用儿科杂志,2012,27(6):443-445,3.

中国实用儿科杂志

OA北大核心CSCDCSTPCD

1005-2224

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