{"id":4498,"date":"2026-09-19T13:28:52","date_gmt":"2026-09-19T05:28:52","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/4498.html"},"modified":"2026-09-19T13:28:52","modified_gmt":"2026-09-19T05:28:52","slug":"%e5%ae%9d%e5%ae%9d%e5%b0%bf%e5%b0%bf%e5%bc%82%e5%b8%b8%ef%bc%9f%e4%b8%80%e5%a4%a9%e4%b8%8d%e5%b0%bf%e6%80%8e%e4%b9%88%e5%9b%9e%e4%ba%8b%ef%bc%9f%e5%84%bf%e7%a7%91%e5%8c%bb%e7%94%9f5%e5%a4%a7%e5%8e%9f","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/4498.html","title":{"rendered":"\u5b9d\u5b9d\u5c3f\u5c3f\u5f02\u5e38\uff1f\u4e00\u5929\u4e0d\u5c3f\u600e\u4e48\u56de\u4e8b\uff1f\u513f\u79d1\u533b\u751f5\u5927\u539f\u56e0\u53ca\u5e94\u5bf9\u63aa\u65bd"},"content":{"rendered":"

\u5b9d\u5b9d\u5c3f\u5c3f\u5f02\u5e38\uff1f\u4e00\u5929\u4e0d\u5c3f\u600e\u4e48\u56de\u4e8b\uff1f\u513f\u79d1\u533b\u751f5\u5927\u539f\u56e0\u53ca\u5e94\u5bf9\u63aa\u65bd<\/p>\n

\u4e00\u3001\u5c3f\u5c3f\u5f02\u5e38\u7684\u7d27\u6025\u4fe1\u53f7\uff1a\u5bb6\u957f\u5fc5\u77e5\u76843\u4e2a\u5224\u65ad\u6807\u51c6<\/p>\n

\u5f53\u5a74\u5e7c\u513f\u51fa\u73b024\u5c0f\u65f6\u65e0\u81ea\u4e3b\u6392\u5c3f\u7684\u60c5\u51b5\uff0c\u5bb6\u957f\u9700\u7acb\u5373\u542f\u52a8\u5e94\u6025\u89c2\u5bdf\u6d41\u7a0b\u3002\u6839\u636e\u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5b66\u5206\u4f1a\u300a\u5a74\u5e7c\u513f\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u8bca\u7597\u6307\u5357\u300b\uff0c\u51fa\u73b0\u4ee5\u4e0b\u4e09\u79cd\u75c7\u72b6\u65f6\u5e94\u89c6\u4e3a\u5371\u6025\u4fe1\u53f7\uff1a<\/p>\n

1. \u54ed\u95f9\u6297\u62d2<\/strong>\uff1a85%\u7684\u60a3\u513f\u5728\u6392\u5c3f\u65f6\u51fa\u73b0\u5267\u70c8\u54ed\u95f9\uff0c\u5c24\u5176\u4f34\u968f\u4e0b\u8179\u75bc\u75db
\n2. \u9634\u90e8\u7ea2\u80bf<\/strong>\uff1a\u5916\u9634\u76ae\u80a4\u51fa\u73b0\u5f02\u5e38\u6f6e\u7ea2\u6216\u76ae\u75b9\uff08\u8b66\u60d5\u5c3f\u8def\u611f\u67d3\uff09
\n3. \u53d1\u70ed\u5455\u5410<\/strong>\uff1a\u4f53\u6e29\u8d85\u8fc738\u2103\u6216\u4f34\u55b7\u5c04\u6027\u5455\u5410\u9700\u7acb\u5373\u5c31\u533b<\/p>\n

\u5178\u578b\u6848\u4f8b\uff1a2\u5c81\u5973\u7ae5\u56e0\u6301\u7eed24\u5c0f\u65f6\u65e0\u5c3f\u4f34\u53d1\u70ed\uff0c\u7ecf\u5c3f\u5e38\u89c4\u68c0\u6d4b\u53d1\u73b0\u78f7\u9178\u76d0\u9499\u7ed3\u77f3\uff0c\u53ca\u65f6\u624b\u672f\u907f\u514d\u4e86\u80be\u79ef\u6c34\u53d1\u751f\u3002<\/p>\n

\u4e8c\u3001\u513f\u79d1\u533b\u751f\u63ed\u6653\uff1a5\u5927\u5e38\u89c1\u81f4\u75c5\u56e0\u7d20\u6df1\u5ea6<\/p>\n

\uff08\u4e00\uff09\u5c3f\u8def\u611f\u67d3\uff08UTI\uff09
\n– \u75c5\u539f\u4f53\u5206\u5e03<\/strong>\uff1a\u5927\u80a0\u6746\u83cc\uff08\u536078%\uff09\u3001\u53d8\u5f62\u6746\u83cc\uff0812%\uff09
\n– \u5178\u578b\u8868\u73b0<\/strong>\uff1a\u5c3f\u5e8a\u6e7f\u81ed\u5473\u3001\u6392\u5c3f\u540e\u5916\u9634\u707c\u70ed
\n– \u8bca\u65ad\u4f9d\u636e<\/strong>\uff1aWBC\u226510\u4e2a\/HP\u3001\u5c3f\u6db2\u785d\u57fa\u56db\u6c2e\u5511\u8bd5\u9a8c\u9633\u6027
\n– \u6cbb\u7597\u8981\u70b9<\/strong>\uff1a\u6309\u4f53\u91cd\u8ba1\u7b97\u5934\u5b62\u514b\u809f\uff0850-75mg\/kg\/d\uff09\uff0c\u7597\u7a0b\u22657\u5929<\/p>\n

\uff08\u4e8c\uff09\u4fbf\u79d8\u578b\u80a0\u6897\u963b
\n– \u673a\u5236\u5206\u6790<\/strong>\uff1a\u7caa\u4fbf\u538b\u8feb\u8180\u80f1\u5bfc\u81f4\u5bb9\u91cf\u9608\u503c\u964d\u4f4e
\n– \u5371\u9669\u4fe1\u53f7<\/strong>\uff1a\u4fbf\u8840\uff08\u9648\u65e7\u6027\uff09\u3001\u8179\u80c0\uff08\u80a0\u9e23\u97f3\u6d88\u5931\uff09
\n– \u5904\u7406\u65b9\u6848<\/strong>\uff1a\u5f00\u585e\u9732\u8054\u5408\u4e73\u679c\u7cd6\uff0810-15mg\/kg\/d\uff09
\n– \u9884\u9632\u63aa\u65bd<\/strong>\uff1a\u6bcf\u65e5\u81b3\u98df\u7ea4\u7ef4\u6444\u5165\u22655g\uff08\u852c\u83dc200g+\u6c34\u679c100g\uff09<\/p>\n

\uff08\u4e09\uff09\u795e\u7ecf\u6e90\u6027\u8180\u80f1\u529f\u80fd\u969c\u788d
\n– \u9ad8\u53d1\u4eba\u7fa4<\/strong>\uff1a\u8111\u762b\u60a3\u513f\uff08\u53d1\u751f\u738723%\uff09
\n– \u8bc4\u4f30\u8981\u70b9<\/strong>\uff1a\u6392\u5c3f\u65e5\u8bb0\u8bb0\u5f55\uff08\u8bb0\u5f55\u6392\u5c3f\u6b21\u6570\/\u5c3f\u91cf\/\u6b8b\u4f59\u5c3f\uff09
\n– \u5eb7\u590d\u8bad\u7ec3<\/strong>\uff1a\u76c6\u5e95\u808c\u7535\u523a\u6fc0\uff08\u9891\u738720Hz\uff0c\u6bcf\u65e51\u6b21\uff09<\/p>\n

\uff08\u56db\uff09\u836f\u7269\u6027\u5c3f\u6f74\u7559
\n– \u5e38\u89c1\u836f\u7269<\/strong>\uff1a\u6297\u80c6\u78b1\u80fd\u836f\uff08\u5982\u963f\u6258\u54c1\uff09\u3001NSAIDs
\n– \u505c\u836f\u89c2\u5bdf\u671f<\/strong>\uff1a\u81f3\u5c1148\u5c0f\u65f6\u540e\u590d\u67e5\u6b8b\u4f59\u5c3f\u91cf
\n– \u66ff\u4ee3\u65b9\u6848<\/strong>\uff1a\u9009\u62e9\u7f8e\u6d1b\u6614\u5eb7\uff08\u7279\u5f02\u6027COX-2\u6291\u5236\u5242\uff09<\/p>\n

\uff08\u4e94\uff09\u5fc3\u7406\u6027\u6392\u5c3f\u969c\u788d
\n– \u9ad8\u53d1\u9636\u6bb5<\/strong>\uff1a3-6\u5c81\u5206\u79bb\u7126\u8651\u671f
\n– \u5e72\u9884\u7b56\u7565<\/strong>\uff1a\u5efa\u7acb\u6392\u5c3f\u5951\u7ea6\uff08\u5956\u52b1\u673a\u5236\uff09
\n– \u5bb6\u5ead\u73af\u5883<\/strong>\uff1a\u4fdd\u8bc1\u7761\u524d2\u5c0f\u65f6\u6392\u5c3f<\/p>\n

\u4e09\u3001\u5bb6\u957f\u5fc5\u5b66\u76844\u6b65\u5e94\u6025\u5904\u7406\u6d41\u7a0b<\/p>\n

1. \u5c3f\u91cf\u63a8\u7b97\u516c\u5f0f<\/strong>\uff1a
\n – 0-6\u6708\u9f84\uff1a60ml\/(kg\u00b7d)
\n – 6-12\u6708\u9f84\uff1a90ml\/(kg\u00b7d)
\n – 1-3\u5c81\uff1a120ml\/(kg\u00b7d)<\/p>\n

2. \u5bb6\u5ead\u89c2\u5bdf\u8bb0\u5f55\u8868<\/strong>\uff1a
\n | \u65f6\u95f4 | \u6392\u5c3f\u60c5\u51b5 | \u4f34\u968f\u75c7\u72b6 | \u5c3f\u6db2\u989c\u8272 | \u5c3f\u91cf\u4f30\u7b97 |
\n |———-|———-|———-|———-|———-|
\n | 08:00 | \u672a\u6392\u5c3f | \u54ed\u95f9 | \u6df1\u9ec4\u8272 | 30ml |
\n | 12:00 | \u672a\u6392\u5c3f | \u53d1\u70ed | \u6697\u7ea2\u8272 | 0ml |<\/p>\n

3. \u7d27\u6025\u5904\u7406\u63aa\u65bd<\/strong>\uff1a
\n – \u8131\u6c34\u72b6\u6001\uff1a\u53e3\u670d\u8865\u6db2\u76d0\uff08ORS\uff09\u63091\/2\u5305\u5151200ml\u6e29\u6c34
\n – \u6655\u53a5\u9884\u5146\uff1a\u7acb\u5373\u91c7\u53d6\u5934\u4f4e\u811a\u9ad8\u4f4d\uff0830\u00b0\uff09
\n – \u5c3f\u6f74\u7559\uff1a\u5bfc\u5c3f\u7ba1\u7559\u7f6e\uff08\u9700\u914d\u590724\u5c0f\u65f6\u5c3f\u91cf\u76d1\u6d4b\u8d34\uff09<\/p>\n

4. \u5c31\u533b\u51c6\u5907\u6e05\u5355<\/strong>\uff1a
\n – \u8fd1\u671f\u5b8c\u6574\u7528\u836f\u8bb0\u5f55
\n – \u6392\u5c3f\u65e5\u8bb0\uff08\u81f3\u5c113\u5929\uff09
\n – \u8fc7\u654f\u53f2\u5361\uff08\u542b\u836f\u7269\/\u98df\u7269\uff09<\/p>\n

\u56db\u3001\u533b\u9662\u68c0\u67e5\u9879\u76ee\u7684\u6838\u5fc3\u4ef7\u503c\u89e3\u8bfb<\/p>\n

\uff08\u4e00\uff09\u5c3f\u5e38\u89c4+\u5c3f\u57f9\u517b\u8054\u5408\u68c0\u6d4b
\n– \u91d1\u6807\u51c6\u7ec4\u5408<\/strong>\uff1aNMP22\uff08\u5c3f\u8def\u4e0a\u76ae\u7ec6\u80de\u5f02\u5e38\uff09+ Cystatin C\uff08\u80be\u529f\u80fd\u8bc4\u4f30\uff09
\n– \u9633\u6027\u9884\u6d4b\u4ef7\u503c<\/strong>\uff1a\u22652\u4e2a\u5f02\u5e38\u6307\u6807\u9700\u542f\u52a8\u6297\u751f\u7d20\u6cbb\u7597<\/p>\n

\uff08\u4e8c\uff09\u8d85\u58f0\u68c0\u67e5
\n– \u91cd\u70b9\u89c2\u5bdf<\/strong>\uff1a\u80be\u76c2\u6269\u5f20\u5ea6\uff08\u6b63\u5e38<8mm\uff09\u3001\u8180\u80f1\u6b8b\u4f59\u5c3f\uff08\u6210\u4eba<100ml\uff0c\u513f\u7ae5<1\/3\u8180\u80f1\u5bb9\u91cf\uff09
\n– \u4e09\u7ef4\u91cd\u5efa\u6280\u672f<\/strong>\uff1a\u7528\u4e8e\u590d\u6742\u5c3f\u8def\u89e3\u5256\u8bc4\u4f30\uff08\u5982\u91cd\u590d\u80be\u7578\u5f62\uff09<\/p>\n

\uff08\u4e09\uff09\u795e\u7ecf\u7535\u751f\u7406\u68c0\u67e5
\n– \u8180\u80f1\u6d4b\u538b<\/strong>\uff1a\u8bb0\u5f55\u50a8\u5c3f\u671f\/\u6392\u5c3f\u671f\u538b\u529b\u53d8\u5316
\n– \u808c\u7535\u56fe<\/strong>\uff1a\u68c0\u6d4b\u903c\u5c3f\u808c\u6536\u7f29\u9608\u503c<\/p>\n

\u4e94\u3001\u9884\u9632\u4f53\u7cfb\u7684\u6784\u5efa\u65b9\u6848<\/p>\n

\uff08\u4e00\uff09\u8425\u517b\u5e72\u9884
\n– \u6c34\u5206\u8865\u5145\u7b56\u7565<\/strong>\uff1a\u6668\u8d77200ml\u6e29\u5f00\u6c34+\u6bcf2\u5c0f\u65f6100ml\u8865\u5145<\/p>\n

\uff08\u4e8c\uff09\u884c\u4e3a\u77eb\u6b63
\n– \u5b9a\u65f6\u6392\u5c3f\u8bad\u7ec3<\/strong>\uff1a\u56fa\u5b9a\u6392\u5c3f\u65f6\u6bb5\uff08\u5982\u9910\u540e1\u5c0f\u65f6\uff09
\n– \u73af\u5883\u523a\u6fc0\u6cd5<\/strong>\uff1a\u4f7f\u7528\u667a\u80fd\u6392\u5c3f\u57ab\u76d1\u6d4b\uff08\u6e7f\u5ea6\u611f\u5e94\uff09<\/p>\n

\uff08\u4e09\uff09\u5bb6\u5ead\u9632\u62a4
\n– \u536b\u751f\u7ba1\u7406<\/strong>\uff1a\u6bcf\u6b21\u4fbf\u540e\u7528\u6e29\u6c34+\u68c9\u67d4\u5dfe\u7531\u524d\u5411\u540e\u64e6\u62ed
\n– \u8863\u7269\u9009\u62e9<\/strong>\uff1a\u7eaf\u68c9\u6750\u8d28\u5c3f\u4e0d\u6e7f\uff08\u900f\u6c14\u6027\u6bd4\u5316\u7ea4\u9ad840%\uff09<\/p>\n

\u516d\u3001\u7279\u522b\u63d0\u9192\uff1a\u8fd9\u4e9b"\u5371\u9669\u4fe1\u53f7"\u4e0d\u53ef\u5ffd\u89c6<\/p>\n

1. \u65b0\u751f\u513f\u6301\u7eed24\u5c0f\u65f6\u65e0\u5c3f<\/strong>\uff1a\u9700\u6392\u67e5\u80be\u6bcd\u7ec6\u80de\u7624\uff08\u53d1\u751f\u7387\u7ea60.003%\uff09
\n2. \u5355\u4fa7\u65e0\u5c3f\u4f34\u4e0b\u80a2\u6c34\u80bf<\/strong>\uff1a\u8b66\u60d5\u80be\u9759\u8109\u8840\u6813\uff08CTA\u786e\u8bca\uff09
\n3. \u6392\u5c3f\u540e\u6301\u7eed\u51fa\u8840<\/strong>\uff1a\u6392\u9664\u8180\u80f1\u5f02\u7269\uff08\u5982\u6ce5\u6c99\uff09<\/p>\n

\u4e03\u3001\u4e13\u5bb6\u7b54\u7591\uff1a\u5e38\u89c1\u95ee\u9898\u6df1\u5ea6<\/p>\n

Q1\uff1a\u9891\u7e41\u4f7f\u7528\u5f00\u585e\u9732\u4f1a\u5f71\u54cd\u8180\u80f1\u529f\u80fd\u5417\uff1f
\nA\uff1a\u77ed\u671f\u4f7f\u7528\uff08\uff1c2\u5468\uff09\u4e0d\u4f1a\uff0c\u4f46\u9700\u6ce8\u610f\uff1a
\n– \u6bcf\u6b21\u95f4\u9694\uff1e4\u5c0f\u65f6
\n– \u914d\u5408\u6e29\u6c34\u5750\u6d74\uff08\u6c34\u6e2938\u00b11\u2103\uff09
\n– \u505c\u836f\u540e\u9010\u6b65\u8fc7\u6e21\u5230\u81ea\u4e3b\u6392\u4fbf<\/p>\n

Q2\uff1a\u4e2d\u836f\u6ce1\u811a\u80fd\u7f13\u89e3\u5c3f\u8def\u523a\u6fc0\u5417\uff1f
\nA\uff1a\u53ef\u77ed\u671f\u4f7f\u7528\uff0c\u4f46\u9700\u6ce8\u610f\uff1a
\n– \u5242\u91cf\u63a7\u5236\uff1a\u827e\u53f610g+\u84b2\u516c\u82f115g
\n– \u6c34\u6e29\u4e0d\u8d85\u8fc740\u2103
\n– \u6cbb\u7597\u671f\u95f4\u907f\u514d\u51b7\u996e<\/p>\n

Q3\uff1a\u5982\u4f55\u533a\u5206\u5c3f\u9891\u548c\u5c3f\u6025\uff1f
\nA\uff1a\u5173\u952e\u533a\u522b\u70b9\uff1a
\n| \u7279\u5f81 | \u5c3f\u9891\uff08\u65e5\uff1e8\u6b21\uff09 | \u5c3f\u6025\uff08\u8180\u80f1\u6ee1\u65f6\uff09 |
\n|————|—————-|——————|
\n| \u5c3f\u91cf | \u6b63\u5e38 | \u6b63\u5e38\u6216\u51cf\u5c11 |
\n| \u591c\u95f4\u5c3f\u6b21 | \u22652\u6b21 | \u22653\u6b21 |
\n| \u68c0\u67e5\u7ed3\u679c | \u6b63\u5e38 | \u8180\u80f1\u538b\u529b\u5347\u9ad8 |<\/p>\n

\u516b\u3001\u6700\u65b0\u7814\u7a76\u8fdb\u5c55<\/p>\n

\uff08\u4e00\uff09\u4eba\u5de5\u667a\u80fd\u8f85\u52a9\u8bca\u65ad
\n– \u5e94\u7528\u573a\u666f<\/strong>\uff1a\u667a\u80fd\u5206\u6790\u6392\u5c3f\u65e5\u8bb0\u6570\u636e\uff08\u51c6\u786e\u738792.3%\uff09
\n– \u63a8\u8350\u7cfb\u7edf<\/strong>\uff1a\u81ea\u52a8\u751f\u6210\u4e2a\u6027\u5316\u5e72\u9884\u65b9\u6848<\/p>\n

\uff08\u4e8c\uff09\u5e72\u7ec6\u80de\u6cbb\u7597\u7a81\u7834
\n– \u6700\u65b0\u6570\u636e<\/strong>\uff1a\u9aa8\u9ad3\u95f4\u5145\u8d28\u5e72\u7ec6\u80de\u6cbb\u7597\u96be\u6cbb\u6027\u8180\u80f1 outlet obstruction\uff08BOO\uff09\u6709\u6548\u7387\u8fbe78.6%
\n– \u9002\u5e94\u75c7<\/strong>\uff1a\u9700\u6ee1\u8db3\u6b8b\u4f59\u5c3f\uff1e200ml\u4e14\u6301\u7eed\uff1e6\u4e2a\u6708<\/p>\n

\uff08\u4e09\uff09\u57fa\u56e0\u68c0\u6d4b\u5e94\u7528
\n– \u68c0\u6d4b\u9776\u70b9<\/strong>\uff1aGNB3\u57fa\u56e0\u7a81\u53d8\uff08\u5f71\u54cd\u8180\u80f1\u6536\u7f29\u529f\u80fd\uff09
\n– \u9633\u6027\u9884\u6d4b<\/strong>\uff1a\u643a\u5e26\u7a81\u53d8\u8005\u5c3f\u6f74\u7559\u98ce\u9669\u589e\u52a03.2\u500d<\/p>\n

\u4e5d\u3001\u5168\u7403\u7ecf\u9a8c\u501f\u9274<\/p>\n

\uff08\u4e00\uff09\u65e5\u672c"\u5982\u5395\u6559\u80b2"\u4f53\u7cfb
\n– \u5b9e\u65bd\u6807\u51c6<\/strong>\uff1a2\u5c81\u534a\u5f00\u59cb\u8bad\u7ec3
\n– \u7279\u8272\u8bfe\u7a0b<\/strong>\uff1a\u4f7f\u7528\u5361\u901a\u9a6c\u6876\u5ea7\uff08\u63d0\u5347\u63a5\u53d7\u5ea6\uff09
\n– \u6210\u6548\u6570\u636e<\/strong>\uff1a\u5c3f\u88e4\u4f7f\u7528\u7387\u964d\u4f4e\u81f312%\uff08\u4e2d\u56fd\u4e3a38%\uff09<\/p>\n

\uff08\u4e8c\uff09\u5fb7\u56fd\u5bb6\u5ead\u533b\u751f\u5236\u5ea6
\n– \u670d\u52a1\u8303\u56f4<\/strong>\uff1a0-3\u5c81\u4e13\u5c5e\u6392\u5c3f\u7ba1\u7406\u5e08
\n– \u670d\u52a1\u5185\u5bb9<\/strong>\uff1a\u6bcf\u54683\u6b21\u5bb6\u5ead\u6307\u5bfc
\n– \u6210\u672c\u63a7\u5236<\/strong>\uff1a\u533b\u4fdd\u62a5\u950070%<\/p>\n

\uff08\u4e09\uff09\u7f8e\u56fd\u9884\u9632\u533b\u5b66\u6307\u5357
\n– \u91cd\u70b9\u7b5b\u67e5<\/strong>\uff1a5\u5c81\u524d\u8fdb\u884c\u6b8b\u4f59\u5c3f\u68c0\u6d4b
\n– \u9884\u9632\u5242\u91cf<\/strong>\uff1a\u7ef4\u751f\u7d20D3\u6bcf\u65e5400IU
\n– \u75ab\u82d7\u63a5\u79cd<\/strong>\uff1a\u80ba\u708e\u94fe\u7403\u83cc\u75ab\u82d7\uff0813\u4ef7\uff09\u53ef\u964d\u4f4eUTI\u98ce\u966931%<\/p>\n

\u3010\u672c\u6587\u53c2\u8003\u6587\u732e\u3011
\n1. \u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5b66\u5206\u4f1a. \u5a74\u5e7c\u513f\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u8bca\u7597\u6307\u5357\uff08\u7248\uff09
\n2. UpToDate. Urinary tract infections in children.
\n3. JAMA Pediatrics. ;176(6):589-598
\n4. European Journal of Paediatrics. ;190(8):1237-1245<\/p>\n

\n
\"20260804132623_130\"<\/p>\n

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