查詢結果分析
相關文獻
- Renal Abscess in Children: An Unrecognized Complication of Vesicoureteral Reflux
- 探討排尿性膀胱輸尿管攝影與小兒腎臟超音波對膀胱輸尿管逆流診斷之準確性
- 小兒泌尿外科的玻尿酸治療
- Orbital Rhinocerebral Mucormycosis Associated with Diabetic Ketoacidosis: Report of Survival of a 10-Year-Old Boy
- Anesthesia for Pediatric Herniorrhaphy or Hydrocelectomy: Comparison of Propofol/Ketamine and Thiopentone/Halothane
- 小兒腦血管疾病
- Succinylcholine-Induced Cardiac Arrest in Unsuspected Becker Muscular Dystrophy--A Case Report
- 反其道而行的尿液迴流--膀胱輸尿管逆流
- 認識小兒發燒
- Acute Hemorrhagic Edema of Infancy
頁籤選單縮合
題名 | Renal Abscess in Children: An Unrecognized Complication of Vesicoureteral Reflux=小兒腎膿瘍:一個未被認知的膀胱輸尿管逆流併發症 |
---|---|
作者 | 鍾慧明; 余燦榮; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷期 | 10:2 1999.06[民88.06] |
頁次 | 頁83-86 |
分類號 | 417.57 |
關鍵詞 | 腎膿瘍; 小兒; 膀胱輸尿管逆流; Renal abscess; Children; Vesicoureteral reflux; |
語文 | 英文(English) |
中文摘要 | 腎膿瘍在小兒族群中相當罕見,也很少被認為是膀胱輸尿管逆流所引發的併發症。 我們報告一位女性病童罹患雙側腎膿瘍及左側膀胱輸尿管尿液逆流來顯示逆流和腎膿瘍其實 有很密切的相關性。其右側腎膿瘍以抗生素即可治癒,但其左側腎膿瘍則須加上經皮膚穿刺 引流術才得以治癒。左側逆流的輸尿管于追蹤一年後接受輸尿管重植術痊癒,術後卻發現對 側輸尿管發生逆流的現象,腎膿瘍在初診斷時若無發現合併逆流,可能暗示其合併有先前已 自行痊癒的逆流,或間歇性逆流,或因偽陰性膀胱攝影術而未被診斷的逆流。我們建議幼兒 若出現腎膿瘍應被考慮到是膀胱輸尿管逆流之併發症,即使一開始並未診斷合併有逆流,亦 應持續密切監控,以免腎臟因潛在之逆流疾病而繼續受到傷害。 |
英文摘要 | Renal abscesses are extremely rare in children and are rarely described as a complication of vesicoureteral reflux. Here we report a case, who presented with bilateral renal abscesses and a unilateral left-side reflux. The close relationship between reflux and renal abscesses was also demonstrated. The right renal abscess was cured by antibiotic therapy alone, but the left renal abscess required additional percutaneous drainage. The left-side refluxing ureter was reimplanted successfully one year later, while a new onset of contralateral reflux was found postoperatively. A renal abscess without reflux presented at diagnosis, implying the possible presence of a resolved reflux, an intermittent reflux, or a reflux masked by a false negative cystogram. We suggest that renal abscess formation in children should be considered as a complication of vesicoureteral reflux. To avoid progressive renal injury by undiagnosed reflux, medical survilliance is necessary even no reflux is documented at initial diagnosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。