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Year 2006 Vol. 14 No 4
MODERN DIAGNOSTICS AND THERAPY
SHMAKOV A.P., PITKEVICH A.E.
PECULIARITIES OF RENAL COLIC IN THE INFANTILE SURGERY CLINIC
Renal colic is acutely appearing algesic, dyspeptic, urinary symptom complexes, leading to the reaction of the cardiovascular, respiratory and other systems of the body. Abdominal syndrome and the peculiarities of the neuropsychological development are caused by insufficiency and inaccuracy of self-sensation estimation which result in children’s hospitalization to the surgical department and in diagnostics and tactics mistakes.
48 case histories of children with RC were studied, who were receiving treatment at the surgical department of Vitebsk infantile regional clinical hospital during the last 10 years. In 52% of all cases the cause of RC was salt diathesis (dismetabolic nephropathy); in 48% cases it was caused by urolithiasis. Significance of clinical symptoms and informative diagnostics methods are evaluated. Since urostasis and inflammation are revealed only in 22, 9%, it is accentuated to diagnose and treat salt diathesis according to urolithiasis principles.
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