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By means of smear staining method we observed the morphologic features of urinary erythrocytes and the influence of osmotic pressure of the end urine on ery- throcyte form in 42 patients with hematuria.Though having an influence on the form of erythrocytes,the osmotic pressure of end urine can't cause serious disfiguration of erythrocytes.Our observation shows that the serious disfigurated erythrocytes are indicating cells to define glomerular hematuria,with the serious disfigurated ery- throcytes>30% taken... By means of smear staining method we observed the morphologic features of urinary erythrocytes and the influence of osmotic pressure of the end urine on ery- throcyte form in 42 patients with hematuria.Though having an influence on the form of erythrocytes,the osmotic pressure of end urine can't cause serious disfiguration of erythrocytes.Our observation shows that the serious disfigurated erythrocytes are indicating cells to define glomerular hematuria,with the serious disfigurated ery- throcytes>30% taken for diagnosis standard of glomerular hematuria we haven't had failing to diagnose or misdiagnosis.The result suggests examining the morpho- logic features of erythrocytes in the urine with smear staining method can distinguish between glomerular and nonglomerular hematuria. 本文应用涂片染色法对42例血尿患者尿红细胞形态及终末尿渗透压对红细胞形态的影响进行了观察。发现终末尿渗透压对红细胞形态有一定影响,但不会造成红细胞严重变形。提示尿严重变形红细胞是诊断肾小球性血尿的指示性细胞。本组以严重变形红细胞>30%作为肾小球性血尿诊断标准时尚未出现漏诊或误诊情况。认为涂片染色法观察尿中红细胞形态可区别肾小球性血尿和非肾小球血尿。 The red cell morphalogic changes were examined with 应用相差显微镜检测105例血尿标本的红细胞形态变化。按尿中红细胞形态的变化百分比分为三类:①变形红细胞>50%或以其为主的血尿为肾小球性血尿;②正常红细胞>50%或以其为主的血尿为非肾小球性血尿;③上述两种类型各占50%时称混合性血尿。其中肾小球性血尿(GH)53例与临床诊断符合率为94.3%,非肾小球性血尿(NGH)52例,诊断符合率为92.3%。本法操作简便、快速,可靠性高达90%以上,可做为临床血尿患者筛选常规之一。 The article has been reported the RBC shapes and counts in urine of 68 Patients with urological diseases by common miorcascope testing,The obsevving results indicated:1. Some RBC in normal Person urise was many shepes,but≤2000ml/L . 2. RBC in blood unine of glomerule doseoge were many shapes,but>2000ml/ L. 3. The blood urine of patients with no glomerule urological. deseases was average shape,the RBC counts were normal. 本文通过对68例泌尿系统疾病患者,用普通光学显微镜检查尿中红细胞形态及计数观察表明:1.健康人尿中所出现少量红细胞多属于“多形型”,但≤2000个/ml。2.肾小球疾病的血尿中细胞属于“多形型”。但>2000个/ml。3.非肾 小球泌尿系疾病呈“均一型”血尿,其红细胞数在正常范围。
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