咽结合膜热所致镜下血尿的临床研究

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1、咽结合膜热所致镜下血尿的临床研究【关键词】咽结合膜热摘要:目的研究咽结合膜热所致镜下血尿的临床情况，明确血尿是否为咽结合膜热的常见临床表现之一，探讨血尿出现的早晚与该病病情、病程的关系。方法病例纽为22例咽结合膜热患儿，且排除结石、结核、肿瘤、肾小球肾炎等疾病。对照组为同期住院的因其他原因发热的患儿30例，一般情况、病情、病程与病例组基木一致。结果病例组血尿出现率为86.3%,明显高于对照组的6.7%(PvO.Ol)。其发热、咽充血、扁桃体肿大、眼结膜充血、血尿等临床指征的发牛率均在86.3%以上，而其他的症状、体征的发牛率均在36.4%以下。血尿的发主率与咽结合膜热

2、的其他典型临床表现的发牛率差显无显著性(P>0.05),而与一般的临床表现的发生率差异有显著性(P<0.01)o病例组中有6例在发病3d内出现镜下血尿，均为卄+〜++++,而口持续时间均超过5d,病程均为7d左右，体温持续在39〜41°C之间;而其余13例在发病3d以后出现血尿的患儿，则体温持续在38〜39.5°C之间，血尿一•般在++以下，持续时间2〜3d,病程一般在5d左右。结论血尿是咽结合膜热的常见临床表现之一，血尿出现的早晚与咽结合膜热病程、临床表现的关系密切。关键词:咽结合膜热;血尿;临床表现Microscopicobservationonhematuria

3、duetopharyngo-conjunctivalfever.HEBo,XINGYu.(HaikouMunicipalPeople'sHospital,Haikou570208,Hainan,P.R.China)Abstract:ObjectiveTostudytheclinicalsituationofhematuriacausedbypharyngo-conjunctivalfever,ascertainifhema-turiaisoneofthecommonclinicalmanifestationsofpharyngo-conjunctivalfeveran

4、dexploretherelationshipbetweentheearlyand/orlateoccurrenceofhematuriaandtheconditionandcourseofthedisease.MethodsAllthe52patientsweredividedintotreat-mentgroupandcontrolgroup.Thetreatmentgroupconsistedof22casesandthosewithcalculuslithiasis,tuberculosis,tumor,glom-rulonephritisandotheril

5、lnesseswereexcludedandthecontrolgroupconsistedof30feverishchildpatientsduetoothercausesandtheirgeneralconditionsandcausesofillnesswerethesameasthoseinthetreatmentgroup・ResultsSignificantdifferenceswereobservedbetweenthetwogroupsandtheincidenceofhematuriainthetreatmentgroupwasover863%obv

6、iouslyhigherthanthatof6.7%inthecontrolgroup(P<0.01).Theincidenceoffever,congestioninthepharynxandconjunctiva,swellingtonsil,hema-turia,etc.inthetreatmentgroupwasover86.3%>whiletheincidenceofothermanifestationsandsignswasbelow36.4%・Nosig-nificantdifferencewasobservedintheincidenceofhemat

7、uriaascomparedwiththatofothertypicalclinicalmanifestationsofpharyngo-conjunctivalfever(P>0.05).Significantdifferencewasobservedinincidenceofhematuriaascomparedwiththosewithgeneralclinicalmanifestations(P<0.01)・Hematuriaoccurredtosixpatientsinthetreatmentgroupinthreedayswithadur