小儿血尿343例病因分析及随访观察
张辉;王峥
【期刊名称】《医药前沿》
【年(卷),期】2012(000)031
【摘要】Objective: To investigate the etiology of hematuria in children and folow up the outcome.Methods: Retrospective analysis and folow-up for 343 cases of children with hematuria admitted to hospital from January 2010 to June 2011. Results: 343 cases included 232 cases of glomerular hematuria(67.6%)and non- glomerular hematuria(32.4%). In 232 cases of glomerular hematuria, the most common types were isolated hematuria(52 cases, 15.2%), persistent glomerulonephritis (37 cases,10.8%) and acute glomerulonephritis(37 cases, 10.8%). While In 111 cases of non-glomerular hematuria, the most common type was urinary infection(75 cases, 21.9%), and uncommon types included medulary sponge kidney(1 case, 0.3%) and nephroblastoma(1 case, 0.3%). Renal biopsy was performed in 40 children with glomerular hematuria. The pathological types included 29 cases of IgA nephropathy, 6 cases of mesangial proliferation glomerulonephritis, 1 case of membranous glomerulopathy, 1 case of focal segmental glomerulonephritis and 3 cases of minimal change glomerulopathy. At the end of the folow-up period, of 52 cases with isolated hematuria, 28 were free from hematuria.Conclusion: Our data demonstrate that the