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Diagnosis, treatment and follow-up of 25 patients with melamine-induced kidney stones complicated by acute obstructive renal failure in Beijing Children's Hospital

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机构: [1]Capital Med Univ, Beijing Childrens Hosp, Dept Nephrol, Beijing 100045, Peoples R China; [2]Capital Med Univ, Beijing Childrens Hosp, Div Urol, Dept Pediat Surg, Beijing 100045, Peoples R China; [3]Capital Med Univ, Dept Ultrasonog, Beijing Childrens Hosp, Beijing 100045, Peoples R China; [4]Beijing Inst Microchem, Beijing 100091, Peoples R China; [5]Univ Calif Davis, Sch Vet Med, Dept Mol Biosci, Davis, CA 95616 USA
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关键词: Melamine Cystoscopy Calculi Uric acid

摘要:
A total of 25 Chinese patients aged 6 to 36 months hospitalised at Beijing Children's Hospital due to melamine-induced kidney stones complicated by acute obstructive renal failure in 2008 were included in a study in order to diagnose and treat these special cases more effectively. Feeding history, clinical presentation, ultrasound findings, treatments and effects were summarised. Twelve to seventeen months follow-up was reported also. Ultrasound examination showed that calculi were located at the kidney and ureters. Stones were composed of both uric acid and melamine in a molar ratio of 1.2:1 to 2.1:1. Treatments providing liquid plus alkalisation of urine proved to be effective in helping the patients pass the stones. Surgical intervention was needed in severe cases. Renal function returned to normal in all 25 patients after various durations of therapy. Sixty-eight percent of the patients expelled all of the calculi within 3 months, 90% in 6 months and 95% in 9 months, without sequelae till now. Melamine-contaminated milk formula can cause kidney stones in infants, which should be diagnosed by feeding history, clinical symptoms and ultrasound examination. Composition of the stones was not only of melamine but also uric acid. Providing liquid orally or intravenously plus alkalisation of urine proved to promote the removal of the stones. Follow-up of 12 to 17 months after discharge showed no sequelae.

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出版当年[2009]版:
大类 | 4 区 医学
小类 | 4 区 儿科
最新[2023]版:
大类 | 3 区 医学
小类 | 2 区 儿科
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出版当年[2008]版:
Q2 PEDIATRICS
最新[2023]版:
Q1 PEDIATRICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2008版] 出版当年五年平均 出版前一年[2007版] 出版后一年[2009版]

第一作者:
第一作者机构: [1]Capital Med Univ, Beijing Childrens Hosp, Dept Nephrol, Beijing 100045, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Childrens Hosp, Dept Nephrol, Beijing 100045, Peoples R China;
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