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作者分别用微分干涉,相差显微镜及瑞氏染色光镜下观察了62例血尿患者的尿中红细胞形态,并将其分为“肾小球性和非肾小球性”来判断血尿来源。判断标准为肾小球性>20%的诊断为肾小球疾患所致;<10%则为非肾小球性;10~20%为混合性,初步考虑肾小球疾患。结果:按此标准在肾小球疾患中确诊率达73.3~88.9%。如果加上混合性则诊断率达93~100%,另外还模拟了肾小管渗透压梯度变化,探讨尿中红细胞变形机理。认为尿中变形红细胞与尿渗透压变化及患者本身细胞无关,而与肾小球内某种损伤有关。
The author used differential interference, phase contrast microscope and Wright’s stain microscope to observe the urinary erythrocyte morphology of 62 patients with hematuria, and divided them into “glomerular and non-glomerular” to judge the origin of hematuria. Criteria for the diagnosis of glomerular> 20% of the diagnosis of glomerular disease; <10% of non-glomerular; 10 to 20% of mixed, initially considered glomerular disease. Results: According to this standard in the diagnosis of glomerular disease in the rate of 73.3 ~ 88.9%. If mixed with the diagnosis rate of 93 to 100%, in addition to simulate the changes in renal tubular osmotic pressure gradient to explore the mechanism of urinary erythrocyte deformation. That urine deformable red blood cells and urine osmolality and the patient’s own cells has nothing to do, but with some damage in the glomerular.