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尿路感染可见于小儿期任何年龄,以新生儿及婴幼儿发病数最高。由于婴幼儿的尿路感染多无典型症状,往往在未做尿培养前,因疑及其他疾病而用抗生素治疗,进一步增加了诊断的困难。因此,儿科医师必须对本病保持高度警惕。为了提高诊断准确率,减少误诊与漏诊,笔者认为应注意以下几个方面的问题。一、提高警惕对可疑病儿反复检查尿液婴幼儿尿路感染往往全身症状严重,而局部症状轻微或缺乏,极易误诊与漏诊。患儿可突然高热、面色苍黄、食欲不振、恶心、呕吐、腹泻、腹痛、脱水、
Urinary tract infections can be seen at any age in infancy, with the highest number of neonatal and infant illnesses. As urinary tract infections in infants and young children without more typical symptoms, often without urinary culture, due to suspected and other diseases with antibiotics, further increasing the difficulty of diagnosis. Therefore, pediatricians must be vigilant against this disease. In order to improve the diagnostic accuracy, reduce misdiagnosis and missed diagnosis, I believe that the following aspects should be noted. First, to increase vigilance Suspected children repeatedly check urinary tract urinary tract infections in infants and young children are often systemic symptoms are severe, while minor or lack of local symptoms, easily misdiagnosed and missed diagnosis. Children may be suddenly hot, pale yellow, loss of appetite, nausea, vomiting, diarrhea, abdominal pain, dehydration,