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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 cells in urine is a very clinical concern, different from the source, the diagnosis and treatment often have a fundamental difference. At present, the clinical use of red blood cells urine microscopic examination according to the morphology of red blood cells under microscope to determine whether the red blood cells derived from the kidney or kidney, which is a simple and noninvasive screening method for determining kidney damage Provides a convenient laboratory basis. However, the standardization of red blood cell urinary phase difference microscopy has not been unified yet. In this paper, the special precautions and steps of urine phase difference specimen, the morphology of red blood cells in urine, the misjudgment of urinary phase difference, the diagnostic criteria, the format of test report To do a standardized introduction, hoping to be able to do the clinical staff in the clinical help.