血尿实验室检测的临床诊断价值  

Clinical diagnostic value of laboratory testing for hematuria

作　　者：周伟梁[1] 曾凡杰[1] 秦伟毅[1] 

机构地区：[1]广州军区广州总医院急诊科,广州510010

出　　处：《中国卫生检验杂志》2012年第8期1831-1832,1835,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的:利用红细胞分析仪检测血尿,评价实验室检测的诊断价值。方法:检测86例血尿患者的血尿红细胞平均体积和分布宽度,镜检尿红细胞形态。结果:肾小球性血尿红细胞畸形率为91.11%,非肾小球性血尿红细胞畸形率为29.27%;肾小球性血尿红细胞平均体积为68.36±7.58 fL,非肾源性血尿红细胞平均体积为87.64±7.52 fL;肾小球性血尿红细胞体积分布宽度为25.14±4.37%,非肾源性血尿红细胞体积分布宽度为16.36±2.59%。结论:联合检测患者血尿红细胞形态、平均体积和分布宽度,有一定的诊断参考价值。Objective：To judge the diagnostic value of laboratory testing for hematuria. Methods： Mean corpuscular volume （MCV） , red blood cell distribution width （RDW） and urine - erythrocytes shape of 86 hedmaturia patients were detected. Results ： Urine - erythrocytes abnormality rate of glomerular hematuria was 91.11%, and that of non - glo - merular hematuria was 29.27%. The MCV of glomerular hematuria was 68.36 ± 7.58 fL, and that of non - glomerular hematuria was 87.64 ± 7.52 fL. The RDW of glomerular hematuria was 25.14 ±4.37% , and that of non - glomerular hematuria was 16.36 ± 2.59%. Conclusion： Union testing of RBC morph, MCV and RDW have some reference value in hematuria diagnosis.

关 键 词：血尿 尿红细胞畸形 尿红细胞平均体积 尿红细胞分布宽度 

分 类 号：R446.12[医药卫生—诊断学]