摘要
目的分析290例血尿患儿的病因。方法选取2019年1月至2023年8月宁夏医科大学总医院儿科收治的290例血尿患儿为研究对象。通过查阅电子病案库收集患儿的临床资料,根据尿液外观分为肉眼血尿组(131例)及镜下血尿组(159例),比较两组病因差异;根据血尿来源分为肾小球源性血尿组(163例)及非肾小球源性血尿组(102例),分析两组病因。结果肉眼血尿组及镜下血尿组前三位病因均为急性肾小球肾炎、泌尿道感染、其他感染引起一过性血尿,其占比比较差异无统计学意义(P>0.05),但镜下血尿组病因未明确者占比高于肉眼血尿组(P<0.05);肾小球源性血尿组前三位病因依次为急性肾小球肾炎、其他感染引起一过性血尿和继发于系统性红斑狼疮、过敏性紫癜等风湿免疫系统疾病;非肾小球源性血尿组前三位病因依次为泌尿道感染、其他感染引起一过性血尿、胡桃夹综合征。结论儿童血尿的病因较多,急性肾小球肾炎最为常见,其次为泌尿道感染及病因未明者。
Objective To analyze the etiology of 290 children with hematuria.Methods A total of 290 children with hematuria admitted to the Department of Pediatrics,General Hospital of Ningxia Medical University from January 2019 to August 2023 were selected as the study objects.The clinical data of the children were collected by consulting the electronic medical record database.According to the appearance of urine,they were divided into the gross hematuria group(131 cases)and the microscopic hematuria group(159 cases),and the differences in etiology between the two groups were compared.According to the source of hematuria,they were divided into the glomerular hematuria group(163 cases)and the non-glomerular hematuria group(102 cases),and the etiology of the two groups was analyzed.Results The top three causes in both the gross hematuria group and the microscopic hematuria group were acute glomerulonephritis,urinary tract infections,transient hematuria caused by other infection,there were no statistically significant differences in their proportions(P>O.05),but the proportion of children with unclear causes in the microscopic hematuria group was higher than that in the gross hematuria group(P<0.05).The top three causes in glomerular hematuria group were acute glomerulonephritis,transient hematuria caused by other infection,and secondary to rheumatic immune system diseases such as systemic lupus erythematosus and allergic purpura.The top three causes of non-glomerular hematuria group were urinary tract infection,transient hematuria caused by other infection,and nutcracker syndrome.Conclusion There are many causes of hematuria in children.Acute glomerulonephritis is the most common,followed by urinary tract infections and cases with unknown causes.
作者
曹森威
靳妍妍
马立燕
CAO Senwei;JIN Yanyan;MA Liyan(The First Clinical Medical School,Ningxia Medical University,Ningxia Hui Autonomous Region,Yinchuan 750000,China;Department of Pediatrics,General Hospital of Ningxia Medical University,Ningxia Hui Autonomous Region,Yinchuan 750000,China)
出处
《妇儿健康导刊》
2025年第16期59-62,共4页
Journal of Women and Children's Health Guide
关键词
儿童
血尿
病因
Children
Hematuria
Etiology
作者简介
曹森威,男,宁夏医科大学第一临床医学院2022级儿科学专业在读硕士研究生,研究方向:儿童泌尿系统及内分泌系统疾病;通讯作者:马立燕,女,主任医师,研究方向:儿童内分泌系统及遗传代谢系统疾病。
