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肉眼和镜下血尿是临床工作中普通的诊断问题。当蛋白尿伴有血尿时往往想到有肾小球疾病。但在没有蛋白尿时,患者通常需作全面泌尿系检查。Campbell的泌尿科学述及“无论多么轻微的血尿(肉眼或镜下)都必需作病因的全面泌尿系检查”,因此许多肾小球肾炎的病人做了不必要的膀胱镜、逆行肾盂造影和主动脉造影,而此类病人最适当的检查应该是肾穿刺活检。仔细研究镜下血尿患者尿沉渣中的管型物
Macroscopic and microscopic hematuria are common diagnostic problems in clinical practice. When proteinuria with hematuria often think of glomerular disease. But in the absence of proteinuria, patients usually need to make a comprehensive urological examination. Campbell’s urology addresses “a complete urological examination that requires etiology, no matter how microscopic hematuria (gross or microscopic),” so many patients with glomerulonephritis do unnecessary cystoscopy, retrograde pyelography, and primary Arteriography, and the most appropriate examination of such patients should be renal biopsy. Careful study of microscopic urinary sediment in patients with urinary sediments