2011年第25讲-泌尿系统尿液检查,肾小球疾病笔记(2011 twenty-fifth - Urology urine tests, notes on glomerulopathy).docVIP
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2011年第25讲-泌尿系统尿液检查,肾小球疾病笔记(2011 twenty-fifth - Urology urine tests, notes on glomerulopathy)
2011年第25讲-泌尿系统尿液检查,肾小球疾病笔记(2011 twenty-fifth - Urology urine tests, notes on glomerulopathy)
The fourteenth chapter: urinary system (32 points)
The teacher told seedlings in March 21st twenty-fifth:
Section 1: urine test
I. hematuria
(1) concepts:
At 1. microscopic hematuria, 3 / high-power visual field of red blood cells was examined under a high power microscope.
2. gross hematuria, more than 1ml/L
(two) reasons
Initial hematuria: anterior urethral lesion
Terminal hematuria: cystic trigone, posterior urethra, seminal vesicles, and prostatic lesions
Hematuria: diseases of the bladder, ureter and kidney.
(three) according to the source, it is divided into glomerular hematuria and non glomerular hematuria
Glomerular hematuria (red blood cell passes through glomerular filtration): red blood cell has deformability, namely red blood cell shape is different, the size is different, the whole journey is painless.
Non glomerular hematuria: without glomerular filtration, the shape is the same size.
Hematuria characteristics of several diseases
Renal tumor: painless whole hematuria
Renal tuberculosis: terminal hematuria and bladder irritation (including dysuria, urgency, frequent urination)
Urinary calculi: low back pain and hematuria occur successively after the operation
Two, proteinuria (normal human negative, range: 0-150mg/d)
(1) concepts
The amount of urine protein in adults exceeds 150mg / D, which is called albuminuria.
More than 3.5G / D is called massive proteinuria. (nephrotic syndrome)
(two) classification
Clinically, it is divided into pathological and physiological proteinuria.
Physiological proteinuria, urinary weapons, qualitative changes in the urine, urine, proteinuria.
Proteinuria caused by high protein diet is a pathological proteinuria;
(I) glomerular proteinuria: the most common. The glomerular filtration membrane has two barriers, respectively:
The damage charge barrier appears selective proteinuria, mainly albumin in urine.
The damage molecule barrier
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