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血尿的诊断与鉴别诊断(国外英文资料)
血尿的诊断与鉴别诊断(国外英文资料)
Diagnostic and differential diagnosis of blood urine
Hematuria (Hematuria) is not the name of a disease, but the most common symptom of a urinary system disease. It can also be caused by a near organ disease in the genitourinary system. It can also be one of the important clinical manifestations of certain medical or systemic diseases.
In the normal diet, life and activity, there is no red blood cell in the urine or a rare occurrence of very small red blood cells in the urine. The number of fresh urine dregs is between 0 and 2 HP. If the Addis count is 0 minus 5 times 10 5/12 h or men 0 -- 3 times 10, 4 over 1h women 0 -- 4 times 10, 4 over 1 h. The second hospital of shandong university was the second hospital
Hematuria: if the erythropoiesis in the urine is increased in urine; The urine is centrifuge and the urine is deposited by the RBC 3 / HP, or the Addis count for 12 hours in the RBC 500,000 or 1 hour 100,000. Clinical divide: microhematuria: the urine is normal, the blood urine that can be detected only in microscopy is called the hematuria in the mirror. Macrohematuria: if the urine contains a blood volume of 1ml / 1000ml, the urine is red or the color of the body wash, which is called macroscopic hematuria.
The diagnosis of hematuria:
The following features can be identified as haematuria:
Visual observation: the fresh urine is opaque red liquid, and the bottom of the container has a red deposit at the bottom of the container.
The urethra microscopy, the number of red blood cells in the range of 2. Addis count: the number of red blood cells is greater than 5x105/12h, male: the red blood cell number 3 by 104/1h, female: the red blood cell count , 4 times 104/1h.
Urine potential blood test: positive
The urinary tract is basic:
Upper urinary tract: kidney, ureter
Lower urinary tract: bladder, urethral (posterior urethral, anterior urethra)
4, the cause of the disease (the main cause of blood urine) :
(1) renal parenchyma:
Glomerular d
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