红细胞尿液相差镜检标准化的研讨  

Discussion of the standardization of urine red blood cells detection with phase contrast microscope

作　　者：李东阳[1] 陈兴国[1] 

机构地区：[1]天津市泰达医院检验科,天津300457

出　　处：《中国城乡企业卫生》2017年第9期34-37,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：尿液中红细胞的来源是临床非常关心的问题,来源部位不同,其诊断及治疗上常有着根本的区别。目前,临床上多采用红细胞尿液相差镜检根据显微镜下红细胞的形态来判断红细胞是来源于肾内还是肾外,这是一种简便而又无创伤的初筛方法,对于判断肾脏是否受损提供了便捷的实验室依据。但是目前红细胞尿相差镜检标准化仍未统一,本文就尿相差标本的注意事项及操作步骤、尿液中红细胞的形态、尿相差中容易误判的几个特殊情况、诊断标准、检验报告的格式等做一标准化介绍,希望能对从事临检的医务人员有所帮助。The source of red blood cell in the urine is a matter of clinical concern. For different parts of sources of red blood cells,there is a fundamental difference in the diagnosis and treatment. At present,red cell urine phase contrast microscope is used to determine whether red blood cells originate from within the kidney or out of the kidney according to the shape of red cells under the microscope in clinically. This is a simple and non-invasive screening method,which provides a convenient laboratory basis for judging whether the kidney is damaged or not. But now the standardization of red blood cell microscopic examination of the urine is still not uniform. This paper makes a standardized introduction on the matters needing attention and operation steps of phase contrast microscope detection of the urine,morphology of red blood cells in the urine,a few special cases which easy to misjudge,diagnostic criteria,the format of the inspection report,etc. So as to be helpful to the medical staff who are engaged in the medical examination.

关 键 词：红细胞 尿液相差镜检 标准化 

分 类 号：R446.1[医药卫生—诊断学]