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由放射造影导致新生儿肾脏损害,目前几无报导。本文报导一例经活检证实为泌尿系造影导致的肾脏损害的早产婴病例,临床、X线照片、超声图象均类似婴儿多囊肾病(IPCKD). 病例报告:女婴,第5胎,第4产。出生体重1,910g。于妊娠34周疑胎盘早剥剖腹分娩。娩出后1分钟,Apgar评分为7分,5分钟时为8分。头围、体重和身长均在第50百分位数。反应灵敏。耳位较低、肾未触及。无羊水过少及家族性肾疾病史。生后12小时无尿排出。触诊法收缩压60mmHg,呼吸40次/分,脉博120次/分。血钠、钾、氯均在正常范围。血尿素氮7mg/dl,肌酐0.7mg/dl,血糖93mg/dl。用5mlRenografin—60作静脉肾盂造影。60
Neonatal kidney damage caused by radiography, few reports. This article reports a case of premature infant confirmed by biopsy of kidney damage caused by urography, clinical, X-ray, ultrasound images are similar to infants with polycystic kidney disease (IPCKD). Case reports: baby, fifth, fourth Production. Birth weight 1,910g. 34 weeks of pregnancy suspected placental abortion abdominal delivery. One minute after delivery, Apgar scored 7 points and 8 minutes at 5 minutes. Head circumference, weight and length are in the 50th percentile. Responsive. Lower ear, kidney not touched. No history of oligohydramnios and familial renal disease. 12 hours after birth, no urine discharge. Palpation systolic blood pressure 60mmHg, breathing 40 beats / min, pulse Bo 120 beats / min. Serum sodium, potassium, chlorine are in the normal range. Blood urea nitrogen 7mg / dl, creatinine 0.7mg / dl, blood glucose 93mg / dl. 5mlRenografin-60 for intravenous pyelography. 60