论文部分内容阅读
问:对60岁以上妇女有显微镜下血尿时,应如何处理?答:首先要弄清楚是否真正显微镜下血尿,在作进一步处理前应再仔细收集小便送检及消毒下取尿标本送培养,量杆(dipstick)试验测定尿中血液非常敏感,但偶有假阳性。有报告对10050名男性健康普查,发现隐性血尿占2.5%。如显微镜下血尿持续存在,应考虑泌尿道肿瘤,应由泌尿科处理。如有蛋白尿(+)或更多时,则可能是肾小球疾患,应由肾脏学家来处理。理论上,反相显微镜检查应能鉴别肾小球疾患的异形红细胞与泌尿道疾患的对称性红细胞。
Q: How to deal with the hematuria when the woman over the age of 60 is under the microscope? A: First of all, we must first figure out whether the real hematuria under the microscope, before further treatment, we should carefully collect the urine and take urine samples for disinfection, Dipstick test is very sensitive for the determination of urine in urine, but occasional false positives. There are reports of 10050 male health census, found that 2.5% of recessive hematuria. Urinalysis should be considered by the urologist if hematuria persists under a microscope. If proteinuria (+) or more, it may be a glomerular disease, should be handled by the nephrologists. In theory, reverse phase microscopy should be able to identify symmetrical erythrocytes in glomerular disorders and urinary tract disorders.