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雑誌文献

総合診療28巻6号

2018年06月発行

文献概要

I LOVE Urinalysis|シンプルだけどディープな尿検査の世界・15

妊婦の尿検査からわかること

著者: 上田剛士1

所属機関: 1洛和会ヘルスケアシステム洛和会丸太町病院救急・総合診療科

ページ範囲:P.840 - P.844

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Case
患者:31歳、女性。妊娠18週。
妊婦健診で異常は指摘されていない。
過去に妊娠歴なし。頻尿があり、尿検査を行った。
 尿定性
比重 1.010
pH 6.5
蛋白 1+
糖 1+
ケトン体 -
潜血 -
ウロビリノゲン 正常
ビリルビン -
白血球 -
亜硝酸塩 -

参考文献

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2)Higby K, et al : Normal values of urinary albumin and total protein excretion during pregnancy. Am J Obstet Gynecol 171(4) : 984-989, 1994. PMID 7943114
3)Piccoli GB, et al : Excessive urinary tract dilatation and proteinuria in pregnancy ; a common and overlooked association? BMC Nephrol 14 : 52, 2013. PMID 23446427
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5)Shiozaki A, et al : Comparison of risk factors for gestational hypertension and preeclampsia in Japanese singleton pregnancies. J Obstet Gynaecol Res 39(2) : 492-499, 2013. PMID 23002807
6)Morikawa M, et al : Pregnancy outcome of women who developed proteinuria in the absence of hypertension after mid-gestation. J Perinat Med 36(5) : 419-424, 2008. PMID 18605971
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9)Saudan PJ, et al : Improved methods of assessing proteinuria in hypertensive pregnancy. Br J Obstet Gynaecol 104(10) : 1159-1164, 1997. PMID 9332994
10)Şükür YE, et al : Predictive value of 3+ spot urinary protein value measured by dipstick in hypertensive pregnant patients. Hypertens Pregnancy 32(2) : 139-145, 2013. PMID 23725079
11)Morris RK, et al : Diagnostic accuracy of spot urinary protein and albumin to creatinine ratios for detection of significant proteinuria or adverse pregnancy outcome in patients with suspected pre-eclampsia ; systematic review and meta-analysis. BMJ 345 : e4342, 2012. PMID 22777026
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13)Alto WA : No need for glycosuria/proteinuria screen in pregnant women. J Fam Pract 54(11) : 978-983, 2005. PMID 16266604
14)Gribble RK, et al : The value of urine screening for glucose at each prenatal visit. Obstet Gynecol 86(3) : 405-410, 1995. PMID 7651652
15)Jovanovic-Peterson L, et al : Sweet success, but an acid aftertaste? N Engl J Med 325(13) : 959-960, 1991. PMID 1908948
16)Brown MA, et al : Microscopic hematuria in pregnancy ; relevance to pregnancy outcome. Am J Kidney Dis 45(4) : 667-673, 2005. PMID 15806469
17)Szeto CC, et al : Prevalence and implications of isolated microscopic hematuria in asymptomatic Chinese pregnant women. Nephron Clin Pract 105(4) : c147-152, 2007. PMID 17259739
18)Sandhu KS, et al : Gross and microscopic hematuria ; guidelines for obstetricians and gynecologists. Obstet Gynecol Surv 64(1) : 39-49, 2009. PMID 19099611
19)Kazemier BM, et al : Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy ; a prospective cohort study with an embedded randomised controlled trial. Lancet Infect Dis 15(11) : 1324-1333, 2015. PMID 26255208
20)Smaill FM, et al : Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane database Syst Rev 2015(8) : CD000490.
21)Nicolle LE, et al : Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 40(5) : 643-654, 2005. PMID 15714408
22)Rogozińska E, et al : Accuracy of onsite tests to detect asymptomatic bacteriuria in pregnancy ; a systematic review and meta-analysis. Obstet Gynecol 128(3) : 495-503, 2016. PMID 27500352

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2188-806X

印刷版ISSN:2188-8051

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