论文部分内容阅读
在美国,儿童尿石症并不普遍,在过去5年中(1972—1977),我们检查和治疗了35例儿童尿石症,搞清了其中20例结石形成的诱因。虽然我们受委托作代谢性筛选,但对儿童尿石症的评价并无价值。阻塞性尿路病,固定不动,尿郁滞和感染,以往未被诊断的尿系异常,类固醇激素治疗,乳——硷综合征,医源性疾病,地方病等都认为与结石形成有关。儿童尿石症的处理一般与成人相同,但反映出当作经尿道移取下输尿管结石时需要特别小心。对于必须固定不动的儿童,为了提供适当的预防尿石症,应减少进食乳制品、饮水利尿和经常变换体位。
In the United States, urolithiasis is not common in children. Over the past five years (1972-1977), we examined and treated 35 urolithiasis in children and identified the causes of the formation of stones in 20 of them. Although we are commissioned for metabolic screening, the evaluation of childhood urolithiasis is of no value. Obstructive urinary tract disease, immobility, urinary stasis and infection, previously undiagnosed urinary tract abnormalities, steroid therapy, milk-alkaline syndrome, iatrogenic disease, endemic diseases and so on are considered to be associated with the formation of stones. Child urolithiasis is generally treated in the same way as adults, but reflects the need for extra care when transurethral removal of ureteral stones. For children who must be immobilized, in order to provide appropriate prevention of urolithiasis, reduce the consumption of dairy products, drinking water, urination and frequent change of position.