title: [Urinary sediment in acute renal failure].
abstract: Over a one-year period, 31 episodes of acute renal failure in children have been studied for urine sediment by contrast phase microscopy (maintained diuresis: 15, oligoanuria: 16, dialysed patients: 9). The etiologies of acute renal failure were: sepsis = 8; nephrotoxicity = 7; hemolytic uremic syndrome = 5; acute nephritic syndrome = 3; hemodynamical changes = 4; obstructive renal failure = 2; others = 3; acute rejections after renal allograft were excluded. The first urine sediment examination was performed 5 days after the onset of renal failure, and has been controlled in 11 children. In 28 cases (90%), there was a good correlation between clinical, biological, ultrasonographic and pathological (4 cases) data. The mechanism of renal failure has been determined by urine sediment examination in most cases, sometimes allowing to rectify a previous diagnosis. The value of this examination seems to be more of anatomoclinical than of prognostic interest, mainly for definite (hemolytic uremic syndrome) or polyfactorial (oncohematological diseases) renal dysfunctions.
authors.affiliation: Unité de réanimation pédiatrique, Hôpital Edouard-Herriot, Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Gay
authors.forename: P
authors.initials: P
authors.lastname: Cochat
authors.forename: H
authors.initials: H
authors.lastname: Pellet
authors.forename: D
authors.initials: D
authors.lastname: Floret
authors.forename: A
authors.initials: A
authors.lastname: Buenerd
mesh_terms: D058186:Acute Kidney Injury / Q000473:pathology / Q000652:urine*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006417:Hematuria / Q000473:pathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007684:Kidney Tubules / Q000473:pathology; D008297:Male; D012189:Retrospective Studies
vernacular_title: Le sédiment urinaire dans l'insuffisance rénale aiguë de l'enfant.