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血尿根据其伴随症状的有无可分为症状性血尿和无症状性血尿。无症状血尿,是肾癌等泌尿系疾病的早期症状,也是IgA 肾病和各种肾小球损害疾病的重要特征。在最近学校和企业体检验尿时发现极多,成为临床实践上的重要问题。1.尿中红细胞的形态:尿沉渣用位相显微镜观察红细胞形态,有畸形红细胞时可推定是由肾小球来的。2.无症状血尿和肾小球的形态:血尿和肾小球组织改变密切相关。光镜检查有肾小球硬化、半月体形成等,电镜检查有基底膜(GBM)的断离和破碎等改
Hematuria according to its accompanying symptoms can be divided into symptomatic hematuria and asymptomatic hematuria. Asymptomatic hematuria is an early symptom of urinary tract disorders such as kidney cancer and is also an important feature of IgA nephropathy and various glomerular lesions. In the recent school and business examination of urine found a lot, become an important clinical practice issues. 1. Urinary red blood cell morphology: Urinary sediment observed by phase microscope erythrocyte morphology, deformable erythrocytes can be presumed to be by the glomerular. 2. Asymptomatic hematuria and glomerular morphology: hematuria and glomerular changes are closely related. Light microscopic examination with glomerular sclerosis, hemifacial body formation, electron microscopy with basement membrane (GBM) off and broken change