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为提高对新生儿泌尿系统畸形的认识 ,本文回顾分析 1 991年 8月～ 1 999年 8月我院收治的新生儿泌尿系统畸形 1 8例 ,占同期住院新生儿 2 345 1例的0 .0 77% ,其中肾囊肿、多囊肾、尿道下裂各 3例 ,肾盂积水、膀胱外翻、肾发育不良、右肾旋转不良各 2例 ,两性畸形 1例。结果显示 :对泌尿系统明显外观异常 ,腹胀或腹部包块患儿应及时查尿常规、肾功能、腹部 B超 ,必要时行 IVP,腹部 CT等检查以确诊 ;注意肾功能 ,慎用肾毒性药物 ,治疗并发症 ,做好随访工作。
In order to improve the cognition of neonatal urinary system deformity, this paper retrospectively analyzed 18 cases of neonatal urinary system malformations treated in our hospital from August 1991 to August 1999, accounting for 2345 cases of neonates hospitalized in the same period. There were 3 cases of renal cyst, polycystic kidney disease and hypospadias, 2 cases of hydronephrosis, bladder eversion, renal dysplasia, 2 cases of abnormal rotation of the right kidney and 1 case of maternal deformity. The results showed that: the obvious appearance of the urinary system abnormalities, abdominal distension or abdominal mass should promptly check urine, renal function, abdominal B-ultrasound, if necessary IVP, abdominal CT examination to confirm; pay attention to renal function, with caution nephrotoxicity Drugs, treatment of complications, good follow-up work.