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本文报告小儿泌尿系结石21例.因其临床表现和体征与成人不同,患儿多以感冒发热、尿频、呕吐、贫血、营养不良等主诉而就诊,泌尿系体征出现较晚,造成误诊误治,故应引起儿科医生警惕.本文21例患儿中16例采取中、西药治疗.其中7例排净结石,5例尚残留结石,4例无效.另5例因结石梗阻,肾积水转外科手术.文中认为KuB、B超是小儿尿路结石常规首先的诊断方法;IVP及MRI对诊断结石有帮助.对小儿结石应采取中、西药治疗;因结石造成梗阻肾功能损害,应及时做外科手术.
This article reports 21 cases of urinary stones in children. Because of their clinical manifestations and signs different from adults, children with cold and fever, frequent urination, vomiting, anemia, malnutrition and other complaints and treatment, urological signs appear later, resulting in misdiagnosis and mistreatment, it should cause pediatricians vigilance. In this paper, 21 cases of children taken in the treatment of Western medicine. Among them, 7 cases discharged clear stones, 5 remained residual stones and 4 were ineffective. Another 5 cases of stone obstruction, hydronephrosis surgery. The article thinks KuB, B-type is the first routine diagnosis of urinary tract stones in children; IVP and MRI help to diagnose stones. The stones in children should be taken in the treatment of Western medicine; due to stones cause obstructive renal dysfunction, surgery should be done promptly.