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肾绞痛是临床常见急症,误诊者并不罕见。本组36例,误诊4例,可见对肾绞痛的认识,仍需进一步提高。笔者试图通过对患者尿液的多次检查,找出肾绞痛患者血尿最易检出的时间(血尿高峰时间),从而提高对肾绞痛诊断的准确率。 1.方法:对1983年1～12月诊为肾绞痛入院的36例进行多次尿检:包括就诊时立即尿检,记录发病至尿检时间,于距发病后6、12、24小时和2、3天……分别尿检一次,直至血尿阴性,在其中找出血尿最严重的一次,定为血尿高峰时间。 2.诊断标准;有肾或输尿管经路的突然绞痛发作,或有放射痛,或可自行缓解者。患侧肾区叩击痛、输尿管经路压痛者。镜下或肉眼血尿,且排除其他急腹症者。
Renal colic is a common clinical emergency, misdiagnosis is not uncommon. The group of 36 cases, misdiagnosed in 4 cases, showing that the understanding of renal colic, still need to be further improved. The author tries to find out the most easily detectable time of hematuria (hematuria peak time) in patients with renal colony by multiple examinations on the urine of patients to improve the accuracy of diagnosis of renal colic. 1. Methods: 36 cases who were diagnosed with renal colic during January to December of 1983 were asked to do multiple urinalysis: including immediate urine examination, recording of onset to urinalysis time, 6,12,24 hours after onset and 2, 3 days ... ... respectively urine test once, until hematuria negative, in which hematuria found the most serious one, as the hematuria peak time. 2. Diagnostic criteria; a sudden renal or urethral colic attack, or radiation pain, or relieve themselves. Ipsilateral kidney percussion pain, ureter by road tenderness. Microscopic or gross hematuria, and exclude other acute abdomen.