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本文报告近年我院收治11例尿路感染引起的黄疸,并介绍2例典型病例。年令多数为2月左右婴儿。临床特点是全身中毒症状严重,而泌尿系统局部症状轻微,某些病例黄疸是其唯一症状,易于漏诊。诊断根据临床表现,尿常规,血、尿培养等。尿培养以大肠杆菌为主,血培养阳性者,细菌与尿培养相一致。重点讨论引起黄疸的发病原理、临床表现及实验室检查。强调婴幼儿骤起黄疸者,在排除其它疾病的同时,应常规进行尿常规,血、尿培养的重要性。如经合理的综合疗法,预后较好。
This article reports 11 cases of jaundice caused by urinary tract infection in our hospital in recent years, and introduced 2 cases of typical cases. Most of the year around February for infants. Clinical features are systemic symptoms of severe poisoning, and urinary tract symptoms of minor local jaundice in some cases is its only symptom, easy to missed diagnosis. Diagnosis based on clinical manifestations, urine, blood, urine culture. Urine culture to Escherichia coli, blood culture positive, bacteria and urine culture consistent. Focus on the pathogenesis of jaundice, clinical manifestations and laboratory tests. Emphasis on infants and young children jaundice, excluding other diseases at the same time, routine urine, blood, urine culture should be the importance of. If the rational combination therapy, the prognosis is good.