相关实验视频
Updated: Jul 17, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.5K
新生儿后尿道膜治疗后的阻塞性尿液:一个回顾性队列研究
Victor Sartorius1,2, Agnès Giuseppi3, Silvia Iacobelli4
1Department of Neonatal Intensive Care, AP-HP Hôpital Necker Enfants-Malades, 149 Rue de Sèvres, 75015, Paris, France. victor.sartorius@aphp.fr.
Pediatric nephrology (Berlin, Germany)
|September 1, 2023
概括
后阻塞性尿液 (POD) 在后尿道 (PUV) 治疗后的新生儿中很常见. 像橄水和早产等因素增加POD风险,有助于早期识别高风险婴儿.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 新生儿重症监护中心
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 新生儿后部尿道 (PUV) 的管理需要密集监测,因为后阻塞性尿液 (POD) 的风险.
- 了解患有PUV的新生儿POD的发病率和促成因素对于优化护理至关重要.
研究的目的:
- 确定治疗后尿道 (PUV) 的新生儿后阻塞性尿液 (POD) 的发生率.
- 为了确定与这种患者群体中POD发展相关的临床和产前因素.
主要方法:
- 对接受PUV手术的新生儿医疗记录的回顾性分析.
- 从2014年1月到2021年4月在新生儿重症监护室收集的数据.
主要成果:
- 在40名新生儿中,15名 (37.5%) 患有POD (尿量>6毫升/公斤/小时).
- POD显着与产前的氧化水 (53.3%对比8%) 和早产 (66.7%对比8%) 相关.
- 在POD的新生儿中观察到血清肌素和尿素水平升高,这表明阻塞后果更严重.
结论:
- 阻塞后尿液是PUV相关尿路阻塞在新生儿的缓解后经常出现的并发症.
- 识别风险因素,如橄水和早产,可以帮助确定新生儿有较高的POD风险.
相关概念视频
Urodynamic Studies: Uroflowmetry
80
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
80
Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi V: Nursing Management
13
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
13
Imaging Studies VI: Voiding Cystourethrography and Cystography
31
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
31
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
55
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
55

