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目的 探讨小儿急性上呼吸道感染高热对机体的不良影响及尿１０ 项的变化，进而指导治疗。方法 用 ＭＡ４２１０型电脑化尿液快速分析仪测定１００ 例高热３９ ℃以上急性上呼吸道感染患儿治疗前后及随机抽样１００ 例健康儿尿１０ 项。采集上午８ ～１０ 时新鲜尿液即刻送检。结果 尿蛋白（ＰＲＯ） 、尿血（ＢＬＤ） 、尿酮体（ ＫＥＴ） 两组间阳性率有非常显著性差异（ Ｐ＜ ０ ．０１） ，上呼吸道感染病儿治疗前后相比有非常显著性差异（ Ｐ＜ ０ ．０１） 。尿ｐ Ｈ 值上呼吸道感染病儿（６ ．３ ±１ ．２）较健康儿（５ ．６ ±１） 有非常显著性差异（ Ｐ＜ ０ ．０１） ，但在正常范围内。结论 尿１０ 项检查在一定程度上可反映急性上呼吸道感染高热对机体的不良影响，适当地降温和补充热量是必要的。尿１０ 项检查不能代替尿常规检查。
Objective To investigate the adverse effects of high fever on acute upper respiratory tract infection in children and the changes of urinary 10 items, and then guide the treatment. Methods 100 samples of 100 children with acute upper respiratory tract infection with hyperthermia above 39 ℃ were collected before and after treatment with 100 samples of 100 healthy children by MA4210 rapid computerized urine analyzer. Fresh urine collected immediately 8 to 10 am. Results There was a significant difference in the positive rates of PRO, hematuria (BLD) and Ketone (P <0.01) between the two groups. There was a significant difference between before and after treatment in children with upper respiratory tract infection (P <0 .01). There was a very significant difference (P <0 .01) between the urinary p H value of upper respiratory tract infection (6.3 ± 1.2) and healthy children (5.6 ± 1), but within the normal range. Conclusion Urine 10 tests can reflect the adverse effects of high fever on acute upper respiratory tract infection on the body to a certain extent. It is necessary to appropriately cool and replenish heat. Urine 10 tests can not replace the urine routine examination.