三聚氰胺致儿童泌尿系结石的临床与影像  

Clinical and Imaging Study of Urinary Calculus Caused by Melamine in Children

作　　者：陈腊梅[1,2] 王仁法[1] 朱丽娟[3] 邵景范[4] 

机构地区：[1]华中科技大学附属同济医院放射科,武汉430030 [2]天门市人民医院放射科,湖北431700 [3]天门市中医院放射科,湖北431700 [4]华中科技大学附属同济医院小儿外科,武汉430030

出　　处：《放射学实践》2010年第3期335-337,共3页Radiologic Practice

摘　　要：目的:探讨食用含三聚氰胺奶粉儿童的泌尿系结石的临床特点和影像学特征。方法:回顾性分析8例儿童泌尿系结石的临床和影像学资料。结果:患儿均有明确食用含三聚氰胺奶粉史,其临床表现主要为不同程度哭闹、发热、呕吐、尿少、尿频、血尿等。8例中有7例患儿年龄<3岁,占同组患儿的87.5%。B超及CT均可发现结石,单发结石1例,多发结石7例。但在腹部X线平片上结石不显影。结论:食用含三聚氰胺奶粉可引起儿童泌尿系统结石,临床症状无特异性,发病年龄偏小,但结石影像表现具有一定特点。Objective：To analyze the imaging and clinical findings of urinary calculus caused by melamine in pediatric patients.Methods：The clinical and imaging materials of 8 pediatric patients with urinary calculus caused by melamine were retrospectively analyzed and the related literatures were reviewed.Results：All of the 8 patients had definite history of having taken milk powder contaminated with melamine.The main clinical symptoms were crying,fever,emesia,oliguria,frequent micturition,hematuria etc.Of the 8 patients,7 patients （87.5%） had the age under 3 years.Calculi could be detected by ultrasonography and CT,but were not visualized on KUB plain film.There were solitary calculus （1 patient） and multiple calculi （7 patients）.Conclusion：Urinary calculus in children could be caused by taking milk powder contaminated with melamine.The clinical symptoms were non-specific,the age of onset was relatively young.Certain imaging characteristics of calculi could be assessed.

关 键 词：儿童 结石 三聚氰胺 放射摄影术 体层摄影术 x线计算机 

分 类 号：R726.9[医药卫生—儿科]