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尿红细胞容积分布曲线在血尿鉴别中的再评价

The revaluation of the effect of the erythro-cyte volume distribution curves on identify-ing kematuria
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摘要 应用自动血细胞分析仪(SysmexF-800)对108例已知原因血尿患者进行了尿红细胞容积分布曲线(EVDC)及尿红细胞平均体积(MCV)测定,并与相差显微镜(PCM)检查结果相比较,结果表明肾小球性血尿和非肾小球性血尿的EVDC敏感性分别为97.30%和94.12/,MCV值分别为57.77±20.59fl和110.71±18.97fl,作者也对EVDC及PCM两种方法进行比较,认为尿红细胞容积分布曲线对血尿来源判断提供了一种客观、简便、快速、无创伤性的方法,与PCM一样,当出血部位虽来自肾脏,但其量较多或肉眼血尿时,EVDC及PCM可靠性降低,应引起注意。 he urinary erythrocyte volume distri-bution curves (EVDC) and mean copuscularvolume (MCV) were determined from auto-mated blood-cell analyzer (System F-800) in108 patients with know source of hematuri-a. The results showed the sensibility ofEVDC in identification of glomerular andnon-glomerular hematuria was 97. 03% and94. 12% respectively, and mean copuscularvolume was 57. 77±20. 59fl and 110. 71 ±18. 97fl respectively . We also compared thernethod of EVDS with phase-contrast mi-croscopy tPCMJ . We conclude the EVDC of-fers an objective, simple,rapid and invasivemethod for identifying tbe source of hema-turia. It should be noted that, as PCM,thereliability of EVDC will decrease when thearnounts of renal bleeding is larger or withgross hematu ria .
出处 《肾脏病与透析肾移植杂志》 CAS CSCD 1994年第6期459-461,共3页 Chinese Journal of Nephrology,Dialysis & Transplantation
关键词 尿 红细胞容积 血尿 血细胞分析 诊断 urinary erythrocyte vol-ume cu rves hematu ria automatedblood -cell analyzer
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