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12岁小孩得肾结石 专家:切忌不合理饮食、盲目补钙

来源: 南方日报网络版     时间: 2019-01-20 13:07:22
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  12岁小孩也得肾结石,这是真的! 专家提醒:不合理饮食以及盲目补钙等,易造成小儿肾结石
  许多家长会认为肾结石是成人才会得的病,其实不然。昨日,记者从重庆医科大学附属儿童医院了解到,该院泌尿外科近日就诊治了一例12岁儿童的肾结石。据医生介绍,近年来,儿童肾结石发病率呈上升趋势。
  重庆晚报—上游新闻记者 李卓然 通讯员 刘嘉
  肾结石不分年龄





  来自南岸区的军军(化名)今年12岁,去年10月的一天,突然腹痛得厉害,并伴有发热症状,父母立即带军军来到儿童医院就诊。检查后发现,军军的肾脏功能已经严重损害,存在尿路感染,B超结果显示为多发性肾结石,需住院治疗。发病至今,军军已经历了两次手术,年后还要进行最后一次手术。
  该院泌尿外科张德迎医生介绍,肾结石的确在成年人中较常见,但近些年儿童肾结石的发病率呈上升趋势,可发生在任何年龄段的儿童,男孩和女孩的患病比例接近。而儿童肾结石的发生,与尿代谢异常、尿路感染、肾脏或尿路结构异常、饮食、生活环境及药物使用等因素有关。张医生介绍:“儿童肾结石分为含钙肾结石、尿酸结石、感染性结石等。结石在肾脏形成后进入输尿管或膀胱,体积到达一定程度后,引起输尿管或尿道阻塞,就会出现腰腹痛或影响排尿。”像军军这样的突发腹部疼痛,是儿童青少年肾结石最常见的症状。“此外,患儿会出现腰痛、血尿、排尿困难,以及发热、尿频、尿急、尿痛等泌尿系统感染表现。”
  肾结石不一定需手术治疗
  对儿童来说,是否必须通过手术取出结石呢?
  张医生解释,一旦检查发现孩子患有结石,当结石直径小于0.5厘米时,首先可通过适当多饮水来帮助孩子将结石经尿道排出;如因疼痛无法进水的孩子,可通过静脉输液利尿、解痉,药物溶石,同时按医嘱调整饮食等治疗。这些是非手术治疗的方法,对于体内结石直径过大的孩子,则根据不同情况选择体外震波碎石、微创经皮肾镜碎石、输尿管镜碎石、腹腔镜或开放性取石等手术治疗。
  如何预防儿童肾结石
  如何预防儿童肾结石,儿童医院专家梳理出了以下5点:
  1、让孩子适量多饮水,增加尿量,这是最有效的预防方式;
  2、由于饮食中高蛋白、高热量、低纤维素能促使泌尿系统结石的形成,所以家长要控制孩子日常饮食中蛋白和糖的摄入量,增加新鲜蔬菜和水果摄入量;
  3、饮食均衡,不要盲目药物补钙和维生素D,人体对于钙的吸收是有限的,吸收不了就会造成钙的沉淀;
  4、陪孩子多活动,如散步、慢跑等,提高代谢;
  5、对有代谢异常及取石术后明确结石成分的孩子,应视具体病情根据医生建议服用药物预防和调整饮食结构等。




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