尿潜血是不是就是肾炎 周珂 湖南中医药大学第二附属医院（湖南省中医院） скачать в хорошем качестве

尿潜血是不是就是肾炎 周珂 湖南中医药大学第二附属医院（湖南省中医院）

尿潜血是不是就是肾炎 周珂 湖南中医药大学第二附属医院（湖南省中医院） 潜血是通过机器做的氧化反应出来的结果，氧化反应有可能对尿里面的红细胞有反应，但是也有可能对非红细胞也有反应，出现假阳性，尿道壁的脱落细胞有可能会造成尿潜血阳性，如果是有潜血阳性的时候，我们要搞清楚到底是不是肾脏的损伤，我们就一定要看镜检红细胞是不是超标了，镜检红细胞如果是高倍镜下超过了三个以上就考虑是血尿，尿沉渣的检测手段可以明确尿里面的红细胞到底是哪里来的，如果以变异型红细胞为主，超过60%说明这些血尿来源于肾小球，它在通过肾小球的时候胞膜受损以后挤压会造成红细胞的变形，这个时候是异型红细胞为主，但是如果以正常形态红细胞为主，那就不是肾炎了。 Is occult blood in urine nephritis Occult blood is the result of oxidation by machines, Oxidation may react to the red blood cells in urine, But it may also respond to non red blood cells, False positive, Exfoliated cells in the wall of the urethra may cause positive occult blood in the urine, If there is occult blood positive, We need to find out if it's kidney damage, We have to see if the red blood cells exceed the standard, If there are more than three red blood cells under high power microscope, it is considered hematuria, The detection method of urine sediment can determine where the red blood cells in urine come from, If it is dominated by variant erythrocytes, More than 60% of the hematuria was from glomerulus, When it passes through the glomerulus, the membrane is damaged, and then it compresses to cause the deformation of the red blood cells, At this time, it is mainly heteromorphous red blood cells, However, if the red blood cells are mainly in normal shape, That's not nephritis.