儿童单纯镜下血尿的诊断途径（The diagnostic pathway of hematuria under the simple mirror of children）.doc

儿童单纯镜下血尿的诊断途径（The diagnostic pathway of hematuria under the simple mirror of children） The diagnostic pathway of hematuria under the simple mirror of children Blood in the urine Definition of blood urine: more RBC than normal in urine (centrifugal urine: RBC (3 / Hp (urine red cell b0 8000 / ml (Addis count: RBC .500,000 hematuria (trace: 2 ~ 10RBC/Hp (middle quantity: somewhere in between (large amount: RBC full view/Hp Blood urine test method Urine automatic analyzer: quick, sensitive, rough. Initial screen The false-negative rate for the diagnosis of hematuria was only 0.9% and was widely used. Ery degree of them are using urine heme oxidizing make the pigment discoloration, ticks, urine in vitamin C and other antioxidants, such as reducing agent, myoglobin, can appear false negative or false positives, so are sketchy, applies only to blood in the urine of early screening. (conventional optical microscope: classic. Cant distinguish the source of blood urine; the result of centrifugal and non-centrifugal urine cannot be compared (phase contrast microscope: can distinguish blood urine source. Equipment is expensive (blood cell automatic analysis of RBC volume: not yet widespread hematuria Hematuria or microscopically hematuria Persistent hematuria or recurrent hematuria Symptomatic hematuria or asymptomatic hematuria Hematuria of polytypic erythrocyte hematuria or mixed hematuria Glomerular hematuria and non-glomerular hematuria Pure mirror hematuria ? Increased RBC in urine; ? The urine protein is negative, the leukocyte is normal; ? No clinical symptoms, normal blood pressure, normal renal function General situation of ? Hematuria is a common symptom of kidney disease in children. ? The incidence of asymptomatic hematuria was 0.4 ~ 4.1 percent in the overseas statistical school. ? At home, in 1986, 224,291 healthy childrens urine screening: no symptomatic hematuria (0.42%); ? Domestic, 1996, 2315 cases of renal biopsy children, pure haematuria 14.7% The importanc