含三聚氰胺奶制品对儿童泌尿系统危害的临床探讨

The clinical harm of infants,urinary system diseases caused by consuming milk products polluted by melamine

目的观察食用含三聚氰胺奶制品致婴幼儿泌尿系统疾病的临床表现,评估其危害性。方法对食用过含三聚氰胺奶制品的儿童泌尿系统行彩色多普勒超声和尿液常规检查。结果彩超检查393例,筛查出阳性者58例(14.76%),其中点状强回声53例(91.38%),结石5例(8.62%)。尿检228例,红、白细胞升高并且符合临床诊断标准者32例(14.04%)。结石患儿均未有红、白细胞升高现象。各个年龄组的发病率比较无统计学意义,但均高于成人的发病率(P<0.01)。结论三聚氰胺致儿童泌尿系统疾病以点状强回声表现为主,早发现、早治疗是控制其危害的主要措施。

Objective To evaluate the clinical manifestations and harm of infants, urinary system diseases caused by consuming milk products polluted by melamine. Methods The urinary system of children consuming the milk products polluted by melamine underwent color Doppler flow imaging （CDFI） and urine routine examination. Results 393 cases received CDFI, and 58 cases（ 14. 76% ） proved to be urine protein positive, of which 5 cases （8. 62% ）had calculus and 53 cases （91.38%）had spot-like strong echoes. 228 cases and underwent urinary examination, of which 32 cases （ 14.04% ） conformed to the clinical diagnosis standards with an increase in the amounts of both red and white cells. No significant differences in the occurrence rates were found between groups of different ages in infants, but all higher than in adult groups （ P 〈 0. 01 ）. Conclusion Children, s urinary diseases caused by consuming milk products polluted by melamine have the spot-like strong echoes as their main manifestations. Early detection and early treatment are the key to controlling the harm caused by melamine.