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Bibliographic Details
Main Author:	Clarisse Barbosa Barata
Format:	Artículo científico
Language:	pt
Published:	Sociedade de Pediatria de São Paulo 2018
Subjects:	Medicina Pediatria Urolitíase Perfil de saúde
Online Access:	https://www.redalyc.org/articulo.oa?id=406057157004 https://www.redalyc.org/journal/4060/406057157004/ https://www.redalyc.org/journal/4060/406057157004/html/ https://www.redalyc.org/journal/4060/406057157004/406057157004.epub https://www.redalyc.org/journal/4060/406057157004/movil
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PERFIL CLÍNICO-EPIDEMIOLÓGICO DE 106 PACIENTES PEDIÁTRICOS PORTADORES DE UROLITÍASE NO RIO DE JANEIRO Clarisse Barbosa Barata Cristina Ortiz Sobrinho Valete Medicina Pediatria Urolitíase Perfil de saúde Objetivo: Descrever a frequência, o perfil clínico e condutas adotadas em portadores de urolitíase no setor de nefropediatria do Hospital Federal dos Servidores do Estado na cidade do Rio de Janeiro.Métodos: Estudo retrospectivo dos prontuários de pacientes portadores de urolitíase, atendidos entre janeiro de 2012 e dezembro de 2014, com idade entre 1 mês e 18 anos. Variáveis estudadas: dados demográficos, antropométricos, quadro clínico, história familiar de urolitíase, infecção urinária e uso de medicamentos litogênicos, condutas diagnósticas, anomalias associadas, distúrbios metabólicos, terapêutica e recorrências.Resultados: A frequência de urolitíase no período foi de 13,6%, e as características mais frequentes foram sexo masculino, cor da pele branca, eutrofia, idade entre 5 e 10 anos, história familiar de urolitíase, infecção urinária prévia e eliminação espontânea do cálculo. Dor abdominal, em flanco e hematúria macroscópica foram as queixas mais comuns. Distúrbios metabólicos mais frequentes: hipercalciúria, hiperuricosúria e hipocitratúria. A hipocitratúria foi associada à história de infecção urinária prévia (p=0,004). A ultrassonografia de abdome ou aparelho urinário foi o exame mais utilizado para diagnóstico. Hidronefrose ocorreu em 54,4% dos casos, 81,1% dos cálculos estavam nos rins e os bilaterais eram associados com história familiar de urolitíase (p=0,030). Houve recidiva em 29,3% dos casos (maior parte com distúrbio metabólico); 12,3% submeteram-se à litotripsia; 24,5%, à cirurgia, principalmente pielolitotomia; e apenas 7,6% dos pacientes tiveram cálculos analisados (mais frequente: oxalato de cálcio).Conclusões: A frequência de urolitíase nessa população pediátrica foi próxima à da literatura. Os achados sugerem a necessidade de investigação metabólica mais ampla e a análise mais frequente dos cálculos. 2018 artículo científico 0103-0582 https://www.redalyc.org/articulo.oa?id=406057157004 https://www.redalyc.org/journal/4060/406057157004/ https://www.redalyc.org/journal/4060/406057157004/html/ https://www.redalyc.org/journal/4060/406057157004/406057157004.epub https://www.redalyc.org/journal/4060/406057157004/movil 10.1590/1984-0462/;2018;36;3;00009 pt http://www.redalyc.org/revista.oa?id=4060 Revista Paulista de Pediatria application/pdf Sociedade de Pediatria de São Paulo Revista Paulista de Pediatria (Brasil) Num.3 Vol.36

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