婴幼儿急性肾后性尿闭的治疗体会  

Treatment of acute renal failure in infants fed with infant formula milk contaminated by melamine

作　　者：孙莉[1] 李会[1] 陆伟萍[1] 余玲[1] 徐展远[1] 夏志恬[1] 

机构地区：[1]上海市儿童医院泌尿外科,200040

出　　处：《中华小儿外科杂志》2009年第1期11-12,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨婴幼儿食用受三聚氰胺污染奶粉致急性肾后性尿闭的治疗。方法对2008年1月1日至2008年9月30日诊治的17例存在上尿路结石梗阻婴幼儿病例进行回顾性分析。结果13例保守治疗，4例行开放手术取石、解除梗阻。所有病例解除梗阻后肾功能明显改善，血钾恢复正常；随访1～9个月，尿流及肾功能均恢复正常。结论婴幼儿食用含三聚氰胺奶粉所致结石，部分可通过水化、碱化等保守治疗，部分需急诊手术取石解除梗阻、挽救肾功能，且术中可观察是否合并上尿路畸形并予对症处理，预后良好。Objective To explore a reasonable treatment for children with acute renal failure due to formula powdered milk contaminated by melamine. Methods From May 1st to September 30^th of 2008,17 infants with acute anuria or renal failure who were fed with powdered milk contaminated by melamine were admitted to this hospital. The clinical manifestations, imageologic findings and emergent management of these cases were retrospectively analyzed. Results Obstruction of upper urinary tract was found in all patients. All patients suffered impairment of renal function and blood kalium abnorreality. Of the seventeen cases, 13 were treated with conservative methods, the other 4 cases were treated with operations. The renal function and blood kalium level of all patients recovered back to normal at 24 hours after treatment. All patients were followed up for 1 to 9 months, and were found to gain normal urinary flow and renal function. Conclusions Of the infants who suffered acute post renal failure due to formula milk contaminated by melamine, some can get recovery by conservative treatments such as hydration and urine kaline,while others need emergent operations to relieve obstruction.

关 键 词：婴儿 尿路结石 无尿症 

分 类 号：R686[医药卫生—骨科学]