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新生兒多囊性腎發育不全:一病例報告

Multicystic Dysplastic Kidney of Newborn: Report of One Case

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摘要


新生兒腹部腫瘤以水腎、多囊性腎發育不全、神經母細胞瘤與Wilms氏腫瘤,較為多見。可經由病史、理學檢查、實驗室檢查、靜脈腎盂攝影術、超音波、電腦斷層攝影術及核子醫學作鑑別診斷。本院於民國75年9月在嬰兒室例行理學檢查時,發現一個出生一天大之男嬰,其腹部有一個6×7公分大且超過中線的腫瘤,沒有其他症狀,實驗室檢查:血液常規、腎功能、肝功能、電解質及尿液均呈正常值,超音波檢查為左側互不相通的腎腫囊,靜脈腎盂攝影顯示左邊無法顯影,電腦斷層攝影術呈示左腎腫囊性腫塊,無正常組織,手術取出腫瘤。病理檢查證實為多囊性腎發育不全,但仍可見到極少數腎絲球體。手術後追踪三年,生長發育均良好。

關鍵字

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並列摘要


A 1-day-old male infant was admitted to Taipei Municipal Chung Hsin Hospital for further investigations due to palpable abdominal mass. Physical examination was essentially normal except that a mass (6×7 cm) was palpable in the left abdomen. Intravenous pyelography demomstrated nonvisualization of the left kidney. Renal sonography revealed a mass with multiple cysts with highly echogenic septa. Renal computed tomography showed multiple cysts in the left kidney. Left nephrectomy was performed. Pathology confirmed the diagnosis of multicystic dysplastic kidney. The baby was followed up to age 3 years. His growth and development were in good condition.

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