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目的 探讨轮状病毒(RV)肾损害的发生概况及预后。方法 对38例入院时均为黄色水样便,大便培养阴性,轮状病毒检测阳性的患儿进行治疗前后尿常规、血尿素氮及肌酐的检查。结果38例患儿中共11例出现尿常规异常,占28%。血尿素氮及肌酐检查正常。该11例尿常规出现异常的患儿,RV肠炎治愈后复查尿常规,均恢复正常。结论RV所造成的肾脏损害主要表现为单纯性蛋白尿,临床上近期预后良好。
Objective To investigate the occurrence and prognosis of rotavirus (RV) nephropathy. Methods 38 cases of admission were yellow watery stools, stool culture negative, rotavirus positive children before and after treatment of urine routine examination, blood urea nitrogen and creatinine. Results Of the 38 children, 11 cases had abnormal urinary findings, accounting for 28%. Blood urea nitrogen and creatinine were normal. The 11 cases of urinary tract abnormalities in children with RV enteritis recurred urine routine review, were back to normal. Conclusion The renal damage caused by RV mainly manifests as simple proteinuria, and the clinical prognosis is good recently.