尿红细胞(ERY)检测及其医学意义(国外英文资料).doc

尿红细胞(ERY)检测及其医学意义(国外英文资料) Urine red blood cell (ERY) testing and its medical significance Normal urine excreted little red blood cells, 24 hour urine out of red blood cell number less than 1 million, above all in red blood cells for urine sediment composition, adult every 4 to 7 at high magnification vision can I see a red blood cells, such as each view when you see one or two of red blood cells should be considered as an exception, if each high power field of vision are visible to the more than three red blood cells, or diagnosed with microscopic haematuria. Fresh urine red blood cells form to differentiate glomerular source sex and the important value of source of glomerular hematuria, so in addition to pay attention to the number of red blood cells in urine in pay attention to its shape, with phase contrast microscope observation, urine red blood cells can be divided into the following three: 1. Uniform red blood cells, blood in the urine: red blood cell shape and the size is normal, in a few cases are visible to the loss of the hemoglobin of cells or slight change shape of the spine cell, anyhow erythrocyte morphology is consistent, the urine specimen is not more than two kinds of red blood cells form type. 2. The deformation of red blood cells, blood in the urine: red blood cell size, shape, the pleomorphism of the carcinoma in two or more change, common the following characteristics: from cytoplasmic membrane outward show relatively dense vesicle, membrane rupture, part of the cytoplasm is lost; The cytoplasm is granular and discomposed along the membrane. There are shriveled red blood cells and large red blood cells, and the cytoplasm is composed along the inside of the cell. One side of the cell, like a gourd or sprouted yeast; A relatively dense substance that is scattered in the cytoplasm, a fine grain; The cytoplasm is shaped like doughnuts and broken red blood cells. 3. Mix all hematuria: to the mixture of the above two kinds of blood in the urine, base