小便随机分析.docxVIP

小便随机分析

一、患者信息

姓名：____________________性别：____________________年龄：____________________

身高：____________________体重：____________________体质指数：____________________

联系方式：____________________

二、临床表现

1.小便的颜色和外观：____________________________________________________________

2.小便的气味：___________________________________________________________________

3.是否有尿痛或尿急症状：________________________________________________________

4.是否有尿频、夜尿增多或排尿困难等问题：________________________________________

5.是否有小便混浊或有血尿的现象：________________________________________________

6.是否有尿蛋白的检测结果：______________________________________________________

7.是否有尿酮体、胆红素或亚硝酸盐的检测结果：____________________________________

三、实验室检查

1.尿液常规检查：

-小便颜色和透明度：_________________________________________________________

-pH值：____________________________________________________________________

-小便比重：_________________________________________________________________

-白细胞计数：_______________________________________________________________

-红细胞计数：_______________________________________________________________

-上皮细胞计数：_____________________________________________________________

-脱落细胞计数：_____________________________________________________________

-结晶检查（如有）：_________________________________________________________

-其他异常结果或指标：_______________________________________________________

2.小便沉渣镜检查：

-上皮细胞形态及百分比：______________________________________________________

-白细胞形态及百分比：_______________________________________________________

-红细胞形态及百分比：_______________________________________________________

-脱落细胞形态及百分比：______________________________________________________

-细菌或真菌的检测结果：______________________________________________________

3.尿蛋白定性检查：

-结果：______________________________________________________________________

-检测方法：__________________________________________________________________

4.尿液微量白蛋白测定：

-结果：______________________________________________________________________