尿棘形红细胞在肾性和非肾性血尿鉴别中的意义  

Clinical significance of acanthocytes in distinguishing glomerular from nonglomerular bleeding.

作　　者：熊立凡[1] 顾晓菁[1] 董晓蓓[1] 

机构地区：[1]上海瑞金医院,200025

出　　处：《上海医学检验杂志》2000年第2期74-76,共3页Shanghai Journal of Medical Laboratory Sciences

摘　　要：本文用相差显微镜对结晶紫 -沙黄染色的 2 4例肾性出血和 2 1例非肾性出血尿沉渣各种形态红细胞进行观察和分类计数。结果 ,棘形红细胞在肾性出血红细胞总数中所占的比率 (5 .5 % )远高于非肾性出血 (0 .6 % )。Various erythrocyte morphology with Sternheimer Malbin stain in the urine of 24 cases with glomerular bleeding and 21 with nonglomerular bleeding was examined by phase contrast microscopy and the differentiation count of erythrocytes based on the defined morphology was made at the same time. The result showed that the occurrence of acanthocyte in the glomerular bleeding(5.5%)was much higher than that in the nonglomerular bleeding(0.6%). It was suggested that acanthocyturia is a useful and characteristic marker in distinguishing glomerular from nonglomerular bleeding.

关 键 词：棘形红细胞 肾性血尿 非肾性血尿 鉴别诊断 

分 类 号：R695.804[医药卫生—泌尿科学] R446.12[医药卫生—外科学]